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Mgr II Claims (Healthcare) PS14917 in Cerritos, CA at Anthem, Inc.

Date Posted: 1/8/2019

Job Snapshot

Job Description

Your Talent. Our Vision.  At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, it’s a powerful combination.  It’s the foundation upon which we’re creating greater care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.
 

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions.  Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.Responsible for providing oversight of claims staff.
 
Primary duties may include, but are not limited to: 
  • Establishes departmental policies and procedures. Audits/monitors efficiency and compliance with policies. 
  • Prepares specialized reports. Serves as subject matter expert for other areas of the company as well as within the department. 
  • Provides policyholder relationship management. 
  • Manages operational risk. May be accountable for deliverables of a third party or vendor. Manages multiple functions requiring unique sets of knowledge or has significant fiscal accountability over and above routine people/equipment costs.  
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports. 



  • Requires BA/BS or any combination of education and experience, which would provide an equivalent background.  
  • 3 years previous management experience
  • 2-3 years claims experience
  • Experience with Medicare Advantage Claims preferred

AnEqualOpportunityEmployer/Disability/Veteran

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. An Equal Opportunity Employer/Disability/Veteran.