Anthem, Inc. Membership Representative I/II in Columbus, Ohio
SHIFT: Day Job
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.
Due to the current COVID-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the expectation that you will return to a regular, in-office work environment. As we continue to monitor guidance from CDC and state officials there may be times you would need to report to the office on a monthly or quarterly basis for team meetings or engagement activities.
Membership Representative I/II
Responsible for enrollment, billing activities and/or maintaining assigned accounts within the Life and Disability Insurance area.
Primary duties may include, but are not limited to: • Builds benefit plans for Life and Disability clients. • May initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers. • Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions and/or concerns received by phone or mail. • Ensures accuracy and timeliness of the membership and billing function. • Determines eligibility and applies contract language for each case assigned. • Performs error output resolution for electronic eligibility and processes error discrepancy lists. • Maintains and reconciles premium bill, self-bill and individual billed accounts. • Screens all forms and data for all paperwork received from Sales and/or Underwriting for new group and/or group re-classing benefits. • Makes request to Underwriting, Sales or Brokers for missing information and/or forms needed for new group or re-class of existing group. • May be responsible for loading rates for new groups and renewal/re-class groups within the appropriate system. • Screens group for benefits to determine if existing or new, recognizing when benefits are not standard and handling as appropriate. • Thoroughly documents inquiry outcomes for accurate tracking and analysis. • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. • Membership Rep I perform basic job functions with help from co-workers, specialists and managers on non-basic issues.
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 benefits companies and a Fortune Top 50 Company.
Requires a HS diploma or equivalent; up to 1 year of previous experience in a customer service environment; or any combination of education and experience, which would provide an equivalent background.
Relevant Work Experience: 1 year in Customer Service/Call Center.
Requires STRONG attention to detail.
Strong verbal/written communication skills, typing skills and strong problem solving skills are also required.
Working knowledge of Microsoft Word, Excel a must.
Previous experience in a call center environment/customer service is preferred.
Demonstrated call center skills and ability to handle difficult call situations
Ability to multi-task, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Proactive and eager to learn.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. 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.