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Membership Representative I-III - Columbus, OH - PS9603

Membership & Enrollment
PS9603 Requisition #
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Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.

Membership Representative I-III

Responsible for enrollment, billing activities and/or maintaining assigned accounts. Must pass the appropriate pre-employment test battery. 

Primary duties may include, but are not limited to:
•    Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers. 
•    Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions and/or concerns received by phone or mail. 
•    May be responsible for billing and delinquency processes for assigned groups.
•     Ensures accuracy and timeliness of the membership and billing function. 
•    Responds to inquiries concerning enrollment processes. 
•    Maintains enrollment database. 
•    May order identification cards. 
•    Determines eligibility and applies contract language for each case assigned. 
•    Performs error output resolution for electronic eligibility and processes error discrepancy list. 
•    Bills, collects premiums and reconciles payments. 
•    Maintains and reconciles premium bill, self-bill and individual billed accounts. 
•    Notifies clients of premium discrepancies through payment adjustment notices and detailed audits.
•    Screens all forms and data for all paperwork received from Sales and/or Underwriting for new group and/or group re-classing benefits. 
•    Makes request to Underwriting, Sales or Brokers for missing information and/or forms needed for new group or re-class of existing group. 
•    May be responsible for loading rates to new groups and renewal/re-class groups within the appropriate system.
•     Screens group for benefits to determine if existing or new, recognizing when benefits are not standard and handling as appropriate. 
•    Thoroughly documents inquiry outcomes for accurate tracking and analysis. 
•    Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. 
•    Performs basic job functions with help from co-workers, specialists and managers on non-basic issues.

High School diploma or GED;
up to 1 year of related experience; 
or any combination of education and experience, which would provide an equivalent background.
Compass experience preferred.
WGS experience preferred
Life and Disability experience preferred.
Windows 7 experience preferred.
Previous customer service experience required.

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 careers.antheminc.com An Equal Opportunity Employer/Disability/Veteran

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Your education. Our inspiration.

This is a brilliant combination. This is where people united with passion and a purpose can make a huge impact. This is Anthem, where innovation is the force that will drive the future of health care.

So what drives you? If it’s the desire to build a career where the work you affects millions, you’re in the right place. Take what you’ve learned to the next level, combine your knowledge with our experience, expertise and resources; and start changing peoples’ lives.

Anthem is one of Fortune magazine’s Most Admired Companies, has a wealth of opportunities for students and graduates who are ready to make a difference.

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Student Programs

Ready to build a career where you make a difference and impact millions of lives? Review our undergraduate and graduate internship programs where you can combine your knowledge, experience and expertise in a growing industry.

Build your career, or even start it through our undergraduate and graduate internships that help us identify future leaders. We’re transforming our industry and here’s the chance to be a part of it.


MBA Program

What drives you? For MBA candidates our leadership development program is an opportunity to apply your academic and professional experience in pursuit of a rewarding and challenging career with one of Fortune magazine’s most admired companies.

Anthem is transforming healthcare for millions as one of the nation’s leading health benefit companies. We are working to not just navigate the changes in the health care market but lead. By leading we can build on our commitment to make a lasting, positive difference for our consumers, care providers, and communities.

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Your Questions, Answered

You have to be at least 18 years of age (unless part of an approved/sponsored program) and currently enrolled in an accredited US college or university. For actuarial students, sitting for or having at least one exam completed by the time your interview is an advantage.

Visit our main page and search internships – apply via APPLY link on the specific opportunity.

We offer internships that are 3 months, 6 months and part-time during the school year. Our opportunities are based on business needs and student availability.

We are delighted to get to know you! Our team participates in various on-campus events throughout the year and from time to time hosts meetings in our offices. The fastest way to see where you stand in the application process is to log into our system to check your status.

Because internships are temporary positions, the only benefits offered at this time are access to our onsite fitness facilities, and the ability to contribute to a 401k. We do, however, offer opportunities to get connected, and be mentored through our various ARGs (Associate Resource Groups).