Claims Representative I (Health & Dental) - FEP

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Job Description:

Title: Claims Representative I (Health & Dental) - FEP

Mason OH

Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports work-life integration and ensures essential face-to-face onboarding and skill development.

This position will have on-site training for 10 weeks and will require you to be in the Mason OH office. You must have 100% attendance during the full 10 weeks of training. Start date: 7/14/2025.

Hours: 8 AM - 4:30 PM EST Monday - Friday during training; 9 AM - 5:30 PM EST after training.

The Claims Representative I will be responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.

How you will make an impact:

• Learning the activities/tasks associated with his/her role.
• Works under direct supervision.
• Relies on others for instruction guidance and direction.
• Work is reviewed for technical accuracy and soundness.
• Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
• Researches and analyzes claims issues.

Minimum Requirements

HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications

• Good oral and written communication skills previous experience using PC database system and related software (word processing spreadsheets etc.) strongly preferred.
• Ability to work from home with hard-wired internet access and a quiet and private workspace strongly preferred.

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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.

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 and Influenza. 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 sex sexual 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 for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.