Location: Miami, FL
Company: Elevance Health
Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc. ). How you will make an impact : Able to handle more complex claim with a good understanding of the application of benefit contracts, pricing, processing, policies, procedures, government regs, coordination of benefits, & healthcare terminology.
Good working knowledge of claims and products, including the grievance and/or re-consideration process. Excellent knowledge of the various operations of the organization, products, and services. Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement. Researches and analyzes
claims issues. Responds to inquiries via phone or email, may involve customer/client contact. Minimum Requirements: Requires a HS diploma or equivalent and a minimum of 1 year of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.
); or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: MS Excel knowledge preferred. Background in Behavioral Health strongly preferred. Strong communication skills preferred. Ability to work independently in a remote environment preferred. Please be advised that Elevance Health only accepts
resumes for compensation from agencies that have a signed agreement with Elevance Health.
Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. 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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health.
We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, interaction, interactionual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@for assistance. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.
Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, interaction, interactionual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@for assistance.
Insurance jobs encompass a variety of roles within the industry focused on assessing risk, providing financial protection, and supporting clients. These positions can range from actuaries who analyze data to predict risk, to claims adjusters who evaluate and process insurance claims. Insurance agents and brokers are also key, selling policies and advising customers on coverage options. The field is known for its stability, as insurance is a necessary service in both good and bad economic times. Moreover, these jobs often require strong analytical skills, attention to detail, and excellent communication abilities, as professionals navigate complex regulations and provide vital assistance to policyholders.
Insurance jobs refer to careers within the insurance industry, where professionals help individuals and businesses manage risk and financial losses by providing them with insurance products. These roles can range from sales agents who sell policies, underwriters who assess risks and set premiums, claims adjustors who handle the compensation process, to actuaries who analyze statistical data to price insurance products accurately. The sector is known for its stability, opportunities for advancement, and the critical role it plays in personal financial planning and the economic health of society.
Insurance jobs are positions within the insurance industry, where professionals help individuals and businesses manage risk and protect against financial losses. These roles can range from actuaries who analyze data to predict risks, to underwriters who decide what and whom to insure, to claims adjusters who handle the aftermath of an event. Key features include the need for strong analytical abilities, excellent communication skills, and a deep understanding of financial principles and regulations. Working in insurance often requires a balance of technical knowledge and interpersonal skills, with a focus on customer service and problem-solving.
Insurance jobs refer to career opportunities within the insurance industry, where professionals work to assess risks, provide financial protection to individuals and businesses, and offer various types of insurance coverage. Key features of these jobs include risk management, customer service, policy underwriting, claims handling, and potentially sales. Professionals in this field often require strong analytical skills, attention to detail, and excellent communication abilities to explain complex insurance products and assist clients with their insurance needs.
