Anthem Inc. Indianapolis Jobs

Job Information

Anthem, Inc. eCOB Specialist I, II in Indianapolis, Indiana

Description

SHIFT: Day Job

SCHEDULE: Full-time

eCOB Specialist II

Locations: VA, OH, KY, IN, GA, NY

The eCOB Specialist II is responsible for researching and investigating other coverage for all the company's groups and members on multiple platforms. Fully proficient in all key areas; performs multi complex functions and interprets complex rules, laws and contracts. Accountable for end-to-end functionality on every Coordination of Benefits (COB) function including reconciliation of claim, membership and accounting.

Primary duties may include, but are not limited to:

• Utilizes internal queries, internal resource tools, must initiate delicate-in-nature phone calls to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or should be enrolled in other coverage. • Assist members in enrolling in Medicare when they are entitled. • Determines primacy on each case using a complex set of Primacy Rules as mandated by State and Federal Laws, such as CMS Primacy and NAIC rules and comparing them against the member/groups Anthem Benefits. • Updates all the company's membership system components with investigation results for claim coordination. • Ensures correct forms are provided to assist members enrolling in Medicare. • Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as recovered in error. • Associate must identify the correct formulas to adjudicate impacted claims, using multiple COB Formulas for the various product types, pursuant to State and Federal Guidelines.

Qualifications

Minimum Requirements:

Requires a HS diploma or equivalent and a minimum of 2 year of claims processing and/or customer service skills and a minimum of 2 year coordination of benefits experience; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications:

Excellent oral and written communication skills, PC skills, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.

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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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.

REQNUMBER: PS59583-Indiana

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