Job Overview
Employment Type
Full-time
Compensation
Type:
Hourly
Rate:
Range $14.00 - $18.00
Work Schedule
Standard Hours
Flexible
Benefits
Paid Time Off
Paid holidays
Medical insurance
Dental Insurance
Vision Insurance
short-term disability
long-term disability
401(K) Plan with Match
stock purchase plan
Life insurance
wellness programs
financial education resources
incentive bonus programs
Job Description
Elevance Health is a leading health company committed to improving lives and communities by making healthcare simpler. Recognized as a Fortune 25 company, Elevance Health has a rich history in the healthcare industry and prides itself on being a trusted partner to its members and communities. The organization is dedicated to fostering a collaborative culture that supports both professional growth and personal development for its employees. Elevance Health emphasizes the core values and behaviors that drive its business success and create an environment where consumers, employees, and communities all thrive. The company offers competitive total rewards packages, including merit increases,... Show More
Job Requirements
- hs diploma or equivalent
- minimum of 5 years of related experience or any combination of education and experience which would provide an equivalent background
- ability to work in-office 1 to 2 days per week
- reside within commuting distance or have accommodation per policy
- pass required vaccinations for covid-19 and influenza for applicable roles
- strong research and analytical skills
- experience handling complex inquiries and escalations
- excellent written and verbal communication skills
- proficient in database and document management systems
- ability to manage social media communications
Job Qualifications
- high school diploma or equivalent
- minimum of 5 years of related experience
- ba/bs in a related field preferred
- passion for delivering exceptional customer service and support
- confident and resourceful problem-solver with the ability to propose and implement solutions
- excellent analytical and communication skills
- strong interpersonal abilities including active listening and empathetic communication
Job Duties
- prepares, analyzes and evaluates written correspondence such as complaints, grievances, document demands, alleged ERISA violations and researches to resolve problems and close outstanding issues at the state or enterprise level
- conducts research and analysis, recommends appropriate course of action and next steps
- performs fact checking, gathers documents, researches and responds to records requests, and various inquiries from internal and external sources, coordinates investigative and discovery activities specific to grievance and appeal functions
- assists with compliance issues as needed
- participates on projects and may participate in strategizing with business and staff
- enters information as required into appropriate databases or other document management systems
- may serve as a resource to other support staff
- respond promptly and effectively to inquiries from the CEO and her executive leadership team, ensuring clear communication with social media and public relations
- analyze and evaluate inquiries, complaints, and reports to recommend appropriate actions, ensuring high-quality resolutions
- manage and engage with social media communications, ensuring timely and appropriate responses that align with company standards
- prepare and organize comprehensive case research, documentation, and notes for management review and strategic planning
- conduct thorough research to recommend feasible solutions and next steps for complex issues, aiding in strategic decision-making
- assist with fact-checking and documentation for investigative and discovery processes, supporting both internal and external legal counsel
- facilitate premium service delivery for escalated customer complaints, maintaining end-to-end ownership of each escalation
- communicate empathetically and professionally with stakeholders, including executive-level associates, to ensure understanding and effective issue resolution
- employ active listening skills to accurately comprehend and dissect complex issues, coordinating necessary escalations
- conduct refresher training sessions on common queries and update internal resources to reflect current protocols and standards
- act as a bridge between business units and customers to determine optimal resolution paths, enhancing stakeholder satisfaction
- provide regular updates on escalation progress to all relevant parties, keeping stakeholders informed
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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