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Customer Service Representative

Location: Rancho Cordova, CA
Job Family: Union
Req #: PS48812
Date Posted: May 4, 2021

Description

SHIFT: Day Job

SCHEDULE: Full-time

Customer Service Representative I U-19

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

Due to the current COVID-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the expectation that you will return to a regular, in-office work environment. As we continue to monitor guidance from CDC and state officials there may be times you would need to report to the office on a monthly or quarterly basis for team meetings or engagement activities. As a Customer Service Representative you will act as a trusted advisor and educator on health care related inquires. You will guide our customers to a better healthcare experience, working every day to make healthcare easy by the service you provide. If you want to be a part of this exciting team, make a difference in someone's life and help make healthcare easy, apply today.

This position will start the U-17 rate for the first year.

This is an entry level position. During the time spent in this position, the Customer Service Representative will develop knowledge in the CSR function. Additionally, the associate will develop knowledge on multiple accounts, becoming proficient in benefit and claim inquiries.

Responsibilities include:

  • Responds to telephone, verbal and/or written inquiries regarding claims, company offered plans, policies and/or procedures 
  • Ensures that questions/issues are resolved satisfactorily and that favorable relationships are maintained 
  • Utilizes appropriate reference materials to research information, responds to inquiries and resolves problems 
  • Coordinates with internal and external sources as necessary to obtain information.
  • Prepares and/or initiates a variety of correspondence and documents to respond to inquiries/problems 
  • Updating, manually processes, adjusting claims and/or records as appropriate 
  • Makes outbound calls to members and providers as needed 
  • Prepares reports and/or logs, as necessary 
  • Maintains inquiry tracking appropriately   
  • May be assigned to Pre Adjudication correction (PAC) and/or Claims adjustment or correspondence as required

 

Qualifications

Qualifications:

  • Must have at least one (1) year of experience as an Anthem Blue Cross Claims Examiner II, meeting expectations on quality, quantity and attendance (internal applicants shall have preference over outside applicants) or, one to two years medical claims processing/health insurance customer service experience or equivalent education.
  • Knowledge of medical terminology and/or claims processing procedures/system preferred. Demonstrates excellent communication skills in both. 

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.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

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