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Anthem, Inc. Customer Care Representative I (Cerritos CA, San Jose CA, Las Vegas NV, Richmond VA, Tuscon AZ) in Las Vegas, Nevada

Description

SHIFT: Day Job

SCHEDULE: Full-time

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 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.

Customer Care Representative

Locations: Cerritos CA, San Jose CA, Las Vegas NV, Richmond VA, Tuscon AZ

Schedule: An 8 hour shift between 5:00am to 8:00pm PST // Possibility of working weekends

This is an exceptional opportunity to do innovative work that means more to you and those we serve. Responsible for having a working knowledge of company services, products, insurance benefits, provider contracts and claims. Proficient in customer service, claims processing and/or membership. Performs two of three functions routinely. Provides claims, customer service and/or case administration support to members, group administrators, providers and brokers. Primary duties may include, but are not limited to:

  • Receives inbound telephone calls or paper and electronic claims from members and providers.

  • May also resolve and respond to issues received through written or electronic communications.

  • Resolves issues for members, providers, group administrators and brokers.

  • Analyzes entire situation to completely resolve the issue.

  • Completes research on behalf of the member, provider or group administrator ensure no rework or follow-up issues.

Qualifications

  • Requires HS diploma or equivalent

  • 1 year customer service or claims experience (preferably in healthcare, dental, or insurance sector)

  • Or any combination of education and experience, which would provide an equivalent background.

  • Related college courses preferred.

  • Bilingual a plus.

AnEqualOpportunityEmployer/Disability/Veteran

REQNUMBER: PS38355-Las%20Vegas-Las%20Vegas

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