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Grievance & Appeals Coordinator - Norfolk, VA - PS16296

PS16296 Requisition #
Thanks for your interest in the Grievance & Appeals Coordinator - Norfolk, VA - PS16296 position. Unfortunately this position has been closed but you can search our 970 open jobs by clicking here.
  • Requires a HS Diploma or equivalent;
  • 4 years progressively complex experience working in grievances and appeals; 
  • Or, any combination of education and experience, which would provide an equivalent background.
  • Ability to multi-task, detail-oriented, ability to function in a production-based and independent work environment
Preferred Qualifications:
  • Behavioral Health experience – call center or external
  • Ability to meet quality standards in a high-demand BH shared services department 
  • PEGA familiarity 
  • Systems experience proficiency – FACETS, MACESS 
  • MS Office (Word, Excel, Outlook) proficiency 
  • Experience working with Medical directors and clinical staff 
  • Experience building authorizations and claims experience 
  • Medicaid/Medicare experience 
  • Bilingual 
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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Work alongside some of the most skilled actuarial professionals in the business. Our underwriting team has opportunities available in pre-sales, retention and iimplementation, risk analysis, life and disability underwriting, and medical evidence underwriting.

Anthem Underwriting associates collaborate with some of the most skilled actuarial professionals in the business. Join us as we apply advanced research and risk analysis to deliver solutions that positively impact lives of consumers .

  • Work across life and disability underwriting, pre-sales, retention and implementation, risk analysis and medical evidence underwriting
  • Combine out-of-the-box thinking and solid analytical skills to generate innovative, life-enhancing solutions
  • Partner with sales professionals to write profitable business that achieves enterprise-wide goals
  • Accurately assess risk and craft coverage plan proposals that meet the needs of both the Company and its members

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