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Anthem, Inc. Employer Service Representative I/Sr in Pewaukee, Wisconsin

Description

SHIFT: Day Job

SCHEDULE: Full-time

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. 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 care companies and a Fortune Top 50 Company.

The Employer Service Representative I/Sr is responsible for providing operational support and expertise, as well as single point of service support (e.g., calls and claims) to key client contacts (HR, Benefit Administrators, client key decision makers, etc.) and Account Management. Services for complex client accounts with timely and effective response to client service related concerns and issues.

Primary Duties Include:

  • Answers client inquiries regarding health plan or service issues.

  • Responds to clients and member issues.

  • Coordinates complaint resolution concerning billing or services rendered with appropriate internal business partners.

  • Coordinates client service needs with other internal business partners as required to ensure client service and satisfaction.

  • Some business travel may be necessary.

  • Responsible for communicating open enrollment information and benefit changes to member experience and other internal business partners.

  • Works with implementations to ensure successful implementation of new client and renewal of existing clients.

  • Keeps account appraised of service related trends and issues, handles escalations and provides overall support to key client service related issues and needs.

  • Talks with complex clients by phone or in person to ensure the best service possible.

  • Responds to customer issues and investigates and resolves errors.

  • Regularly attends and participates in on-site client visits as the need arises based on performance guarantees of that group. Client visits can be anywhere from 1 time a week to a couple times a year all depending on importance and the need.

  • Services client accounts with timely and effective response to client service related concerns and issues.

  • Keeps operational teams appraised of client changes, culture, benefit intent, etc.

  • Services for complex client accounts with timely and effective response to client service related concerns and issues.

    Applicable to Colorado Applicants Only Hourly Salary Range*: $24.96 - $31.20 Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. *The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. 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. An Equal Opportunity Employer/Disability/Veteran. Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.

Qualifications

  • Requires a HS diploma or equivalent;

  • 2-3 years of Employer Service Rep experience and 5 years of related claims/customer service experience; or any combination of education and experience, which would provide an equivalent background.

  • Associate degree preferred.

  • Travel required up to 25%.

    REQNUMBER: PS47665

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