Anthem, Inc. Operations Expert in Tampa, Florida
SHIFT: Day Job
Responsible for providing technical direction, guidance and resources to claims, customer service, or membership associates on a day-to-day basis.
Primary duties 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.
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.
Claims knowledge and an understanding of UB04 and HCFA is highly preferred.
For URAC accredited areas the following applies: Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
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.