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View job Senior Claims Lead (Managed Care/ Health Plan) Remote/ Telecommute- $1000 Sign-On Bonus
Anthem | Tampa, FL | 07/24/2021
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Description
SHIFT: Day Job
SCHEDULE: Full-time
OPERATIONS EXPERT
Operations Expert is responsible for providing technical direction, guidance, and resources to claims, customer service, or membership associates on a day-to-day basis.
Primary duties of the Operations Expert may include, but are not limited to:
• Serves as a first line resource for operation associates for workflow and technical related processes.
• Provides operational training; assists associates by answering day-to-day technical questions.
• Encourages a teamwork environment.
• Monitors inventory to ensure workflow remains uninterrupted.
• Handles complex case research and resolution; reviews, interprets and maintains records of service level, quality, accuracy, and productivity.
• Reviews department policy and procedure manuals for accuracy.
• Works with training department to ensure procedures and policies are accurate and complete
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.
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. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's 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.
Qualifications
Requires HS diploma or equivalent.
• 5 years related experience and 3 years of experience and expertise with company relevant automated processing systems; or any combination of education and experience, which would provide an equivalent background.
• Previous leadership experience preferred.
• For URAC accredited areas the following applies:
Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
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July 25, 2021