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Caremore Claims Rep (Examiner) III | Cerritos, CA | Job ID: PS27783

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Claims
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PS27783 Requisition #

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.

 

This is an exceptional opportunity to do innovative work that means more to you and those we serve. Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. Must be able to successfully perform all the duties of the Claims Rep II. Primary duties may include, but are not limited to: 
  • Participate in claims workflow projects. 
  • Responds to telephone and written inquiries and initiates steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims. 
  • Adjusts voids and reopens claims on-line within guidelines to ensure proper adjudication. 
  • May have customer/client contact. 
  • May assist with training of staff. Works without significant guidance. 
  • Requires a HS diploma
  • 3-5 years of the companies internal claims experience; or any combination of education and experience, which would provide an equivalent background.
AnEqualOpportunityEmployer/Disability/Veteran

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Frequently Asked Questions

We accept online applications via our "Apply" link at the bottom of specific position. Our online application may vary in type of questions depending on the role. Once this is completed, you will receive an email confirmation regarding your application.

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For more information regarding our temporary or contract opportunities at Anthem visit here.

Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance.