Claims Representative (Health & Dental)

At Elevance Health, we are looking for an experienced, organized, and detail-oriented Claims Representative (Health & Dental) who is passionate about providing top-notch customer service. The successful candidate will be responsible for processing and managing benefit claims with accuracy and efficiency. The ideal candidate should have prior experience in the health and/or dental insurance industry with a comprehensive understanding of medical terminology, claims processing systems, and insurance reimbursement practices. He or she should be a self-starter with a proven track record of success in managing claims operations, and possess excellent customer service and problem-solving skills. If you are a customer service-oriented individual looking for an opportunity to grow and contribute to a team of dedicated professionals, we want to hear from you! Responsibilities: Process and manage health and dental benefit claims accurately and efficiently. Maintain a comprehensive understanding of medical terminology, claims processing systems, and insurance reimbursement practices. Provide customer service to clients and answer any inquiries or concerns regarding claims processing and management. Troubleshoot and resolve issues related to claims processing and management. Maintain accurate records of all claims processing activities and ensure compliance with applicable regulations. Develop and implement strategies to improve claims processing speed and accuracy. Monitor the status of all claims and adjust processes accordingly to ensure timely claims processing. Stay abreast of changes in the insurance industry and adjust processes accordingly. Monitor claims processing systems for performance and accuracy. Collaborate with other departments to ensure high-quality claims processing services. 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. Apply Job!