Job Overview
Employment Type
Full-time
Compensation
Type:
Hourly
Rate:
Range $13.25 - $17.25
Work Schedule
Standard Hours
Flexible
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Incentive bonus program
401(K) Plan with Match
Life insurance
Job Description
Elevance Health is a leading health company dedicated to improving lives and communities by making healthcare simpler and more accessible. As a Fortune 25 company with a longstanding history in the healthcare industry, Elevance Health is committed to fostering a culture that drives innovation, personal growth, and community impact. The company's culture is grounded in core values and behaviors that promote strategic achievement and business success for consumers, associates, communities, and the organization as a whole. Elevance Health provides a comprehensive total rewards program, which includes merit increases, paid holidays, paid time off, incentive bonuses, and benefits such as medical,... Show More
Job Requirements
- High school diploma or equivalent
- Minimum of 5 years related experience or combination of education and experience
- Willingness to work in-office 1 to 2 days per week
- Ability to communicate clearly and professionally
- Capacity to handle sensitive and escalated issues
- Flexibility to reside within reasonable commuting distance or have accommodation
- Commitment to customer service excellence
- Ability to conduct research and analyze complex information
Job Qualifications
- High school diploma or equivalent
- Minimum of 5 years related experience
- Bachelor’s degree in a related field preferred
- Strong analytical and research skills
- Excellent written and verbal communication abilities
- Experience managing escalated inquiries and complaints
- Proficient in document management and database entry
- Ability to work collaboratively on complex projects
- Customer service orientation
- Knowledge of compliance and investigative procedures
Job Duties
- Prepare, analyze and evaluate written correspondence such as complaints, grievances, document demands, and alleged ERISA violations
- Conduct research and analysis, recommend appropriate course of action and next steps
- Perform fact checking, gather documents, research and respond to records requests and various inquiries
- Coordinate investigative and discovery activities specific to grievance and appeal functions
- Assist with compliance issues as needed
- Participate on projects and strategize with business and staff
- Enter information into databases or document management systems
- Respond promptly to inquiries from the CEO and executive leadership team
- Manage social media communications to ensure timely and appropriate responses
- Prepare comprehensive case research and documentation
- Recommend feasible solutions and next steps for complex issues
- Assist with fact-checking and documentation for investigative processes
- Facilitate premium service delivery for escalated customer complaints
- Communicate empathetically and professionally with stakeholders
- Employ active listening skills for complex issues
- Conduct training and update internal resources
- Act as liaison between business units and customers
- Provide regular status reports on escalation progress
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
We didn't receive the exact location for this job posting,
please contact the employer.
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