Grievance/Appeals Representative I
Elevance Health(7 days ago)
About this role
The Grievance/Appeals Representative I is responsible for reviewing, analyzing, and processing health insurance claims, grievances, and appeals to determine the company's liability and customer entitlements. The role involves investigation, communication with customers, documentation, and research to resolve issues within regulatory timeframes.
Required Skills
- Customer Service
- Claims Processing
- Investigation
- Documentation
- Communication
- Policy Interpretation
- Research
- Appeals
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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