Special Services Rep

Description

Special Services Representative

Be part of an extraordinary team. We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be
part of a larger purpose and an evolving, high performance culture that empowers you to make an impact?

Responsible for researching and responding to written and telephone inquiries from a variety of sources including the DOI, Cabinet for Health Services (CHS), Attorney General's Office, media, state/federal legislators, members, attorneys representing members and inquiries received from any of these sources addressed to Anthem executives.

Primary duties may include, but are not limited to:

• Researches and responds to written and telephone inquiries from a variety of sources to ensure an outcome that is appropriate and in accordance with contract language and regulatory requirements.
• Prepares written correspondence that effectively communicates the company's position and satisfies all regulatory requirements.
• Identifies procedural problems, issues or trends to reduce corporate risk and improve customer service.
• Appears at depositions in court or at the DOI to verify the company's policies and procedures.

Qualifications

Requirments: 

• Requires HS diploma or equivalent and a minimum of 5 years customer service experience and extensive knowledge of systems; or any combination of education and experience which would provide an equivalent background.
• Knowledge of provider e-service (Availity) and member e-service is a plus.

Preferred Requirments:

• Fully trained in professional and Facility Adjustments.

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.
The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.