Description
SHIFT: Day Job
SCHEDULE: Full-time
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 care companies and a Fortune Top 50 Company.
The Claims Director I is responsible for directing processing and payment of claims.
Provides guidance on the most complex claims.
Primary duties may include, but are not limited to:
• Providing a broad range of services needed by policy owners/clients and filed force to maintain in-force policies or new business. Develops/implements complaint resolution procedures.
• Develops short/long-term customer service objectives and continuously monitors procedures to ensure these are met by staff.
• Ensures area is staffed and trained to handle inquiries from agents and policy owners.
• Stays abreast of state and federal regulations and their impact on the industry.
• Hires, trains, coaches, counsels and evaluates performance of direct reports.
Qualifications
Minimum Requirements:
• Requires a BA/BS and 7 years leadership experience; or any combination of education and experience which would provide an equivalent background.
Preferred Qualifications:
• Operational and claims experience is a big plus
• Auditing experience
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.