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 programs
401(k) with match
Life insurance
Job Description
Elevance Health is a leading health company dedicated to improving lives and communities by making healthcare simpler. As a Fortune 25 organization, Elevance Health boasts a longstanding history within the healthcare industry and is driven by a culture that promotes personal and professional growth while advancing its strategic goals. This dynamic company focuses on delivering exceptional healthcare services, powered by its core values and behaviors that ensure shared success for consumers, associates, and the communities it serves. Elevance Health operates under a Hybrid Workforce Strategy, blending in-office and virtual work environments to foster collaboration, flexibility, and productivity. Associates typically work... Show More
Job Requirements
- High school diploma or equivalent
- Minimum of 5 years of related experience
- Ability to reside within commuting distance to office or have appropriate accommodations
- Strong written and verbal communication skills
- Detail-oriented with excellent organizational skills
- Proficient with database and document management systems
- Ability to manage multiple priorities and complex issues
- Commitment to customer service excellence
- Ability to collaborate with executive leadership and cross-functional teams
Job Qualifications
- High school diploma or equivalent
- Minimum of 5 years of related experience
- BA/BS in a related field preferred
- Strong analytical and communication skills
- Proven problem-solving abilities
- Experience with complaint and grievance resolution
- Ability to manage escalated inquiries and stakeholder communications
- Familiarity with compliance and investigative procedures
- Skilled in fact-checking and documentation
- Ability to work collaboratively in a hybrid work environment
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 strategizes with business and staff
- Enters information into appropriate databases or document management systems
- Serves as a resource to other support staff
- Responds promptly and effectively to inquiries from the CEO and executive leadership team, ensuring clear communication with social media and public relations
- Analyzes and evaluates inquiries, complaints, and reports to recommend appropriate actions and high-quality resolutions
- Manages social media communications and ensures timely and appropriate responses
- Prepares and organizes comprehensive case research, documentation, and notes for management review and strategic planning
- Conducts thorough research to recommend solutions and next steps for complex issues
- Assists with fact-checking and documentation for investigative and discovery processes, supporting legal counsel
- Facilitates premium service delivery for escalated customer complaints, maintaining ownership of each escalation
- Communicates empathetically and professionally with stakeholders, including executive-level associates
- Employs active listening to accurately comprehend complex issues and coordinates escalations
- Conducts refresher training sessions on common queries and updates internal resources
- Acts as a liaison between business units and customers to determine optimal resolution paths
- Provides regular updates on escalation progress to relevant parties
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
You may be also interested in: