SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to 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 at one of America’s leading health care companies and a Fortune Top 50 Company.
Due to the current COVID-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the expectation that you will return to a regular, in-office work environment. As we continue to monitor guidance from CDC and state officials there may be times you would need to report to the office on a monthly or quarterly basis for team meetings or engagement activities.
RANCHO CORDOVA BARGAINING UNIT – NORTH OPERATIONS REQ # PS59623 SR. CUSTOMER CARE REPRESENTATIVE –One (1) Position
SALARY: Bargaining unit wage scale SALARY GRADE: U-20 Job Code: S71402
Summary: Resolve complex, difficult and/or non-routine submitted claims or customer service issues requiring special handling. May be assigned to take routine calls and/or process claims as needed. Interpret policy and contract eligibility. Ensure that claims are settled satisfactorily and that favorable relationships are maintained. Advises and/or guides assigned department personnel in applying policies and procedures. Conducts training of assigned department personnel. Perform quality review of work performed by assigned department personnel. Monitors department audit results to ensure quality goals are being met. Monitors department workflow to ensure production plans are being met. Contacts customers (i.e. subscribers, providers, brokers and/or policyholders) during the course of review to clarify and/or gather additional information required to process claims and/or resolve inquiries. Assist in development of improved workflow and methods. Prepare department reports.
Two (2) years experience as a Blue Cross Claims Examiner II, meeting expectations on quality, quantity and attendance OR three (3) years medical claims processing/health insurance customer service experience or equivalent education. Have a thorough knowledge of medical terminology and claims processing procedures/system. Demonstrate effective communication and personal computer skills. Must pass the appropriate testing including clerical filing, matching and data entry (8000 strokes per hour).
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
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