Anthem, Inc. eCOB Specialist I, II in Indianapolis, Indiana
SHIFT: Day Job
eCOB Specialist I
Locations: NY, GA, VA, IN, KY, OH
The eCOB Specialist I is responsible for researching and investigating other coverage for all the company's groups and members. 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. • 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 reconcile processed, pended or recovered in any error. • Associate must identify the correct formulas to adjudicates impacted claims, using multiple COB
Requires a HS diploma or equivalent and a minimum of 1 year of claims processing and/or customer service skills and a minimum of 1 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.