Claims Representative (Health & Dental)

Posted 2025-04-21
Remote, USA Full-time Immediate Start

Elevance Health is looking for an experienced and highly motivated Claims Representative (Health & Dental) to join our team. We are looking for an energetic and organized individual who is passionate about providing excellent customer service and ensuring accuracy in the claims process. The successful candidate will be responsible for managing our health and dental claims by processing, tracking, and resolving all claims in an efficient and timely manner. To be successful in this position, the ideal candidate should have an understanding of medical terminology and knowledge of health and dental claims regulations. An Associate?s degree in a health-related field or equivalent claims processing experience is preferred. Excellent communication skills, strong organizational skills, and the ability to multi-task are essential for success in this role.We are looking for an individual who is excited to join our team and help Elevance Health continue to provide high-quality, cost-effective services to our customers. If you are looking for an opportunity to use your experience and skills in a challenging and rewarding role, we want to hear from you!

Responsibilities: Process, track, and resolve health and dental claims in an efficient and timely manner. Maintain accurate records of all claims and ensure compliance with applicable regulations. Review and evaluate health and dental claims to ensure accuracy and completeness. Respond to inquiries from customers, providers, and insurance companies in a timely and professional manner. Stay up-to-date on health and dental claims regulations and industry trends. Assist with training and onboarding of Claims Representatives. Provide excellent customer service and ensure customer satisfaction. Utilize available resources to resolve customer issues. Maintain professional relationships with colleagues, customers, and vendors. Identify areas of improvement and suggest changes to streamline processes.

Elevance Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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