Claims Representative II – Health & Dental

Elevance Health

Claims Representative II processing health claims with Elevance Health. Virtual role with occasional in-person training sessions and a focus on productivity and work-life integration.

Posted 5/28/2026full-timeLatham • Florida, New York, North Carolina • 🇺🇸 United StatesJunior💰 $17 - $30 per hourWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

claims processingclaims adjustmentclaims analysisbenefit contractspricing policiesgovernment regulationscoordination of benefitshealthcare terminology

Soft Skills

customer serviceinquiry responseanalytical skills

Tools & Technologies

PCdatabase systemsword processing softwarespreadsheets

Certifications & Qualifications

high school diplomaequivalent education

Industry Keywords

health claimsclaims policiesclaims procedures

About the role

Key responsibilities & impact

keying, processing health claims in accordance with claims policies and procedures
able to handle more complex claim with a good understanding of the application of benefit contracts, pricing, processing, policies, procedures, government regs, coordination of benefits, healthcare terminology
adjust claims
reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement
researches and analyzes claims issues
responds to inquiries, may involve customer/client contact

Requirements

What you’ll need

Requires a HS diploma or equivalent
minimum of 1 year of claims processing experience
previous experience using PC, database system, and related software (word processing, spreadsheets, etc.)
or any combination of education and experience which would provide an equivalent background

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
paid holidays
Paid Time Off
medical, dental, vision benefits
short and long term disability benefits
wellness programs
financial education resources