Membership Representative I/II/III - Wallingford, CT / South Portland, ME - PS21582

Membership Representative I/II/III - Wallingford, CT / South Portland, ME - PS21582

24 May 2024
New Hampshire, Manchester 00000 Manchester USA

Membership Representative I/II/III - Wallingford, CT / South Portland, ME - PS21582

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Membership Representative I/II/III - Wallingford, CT / South Portland, ME - PS21582Location: New Haven, Connecticut, United StatesRequisition #: PS21582Your Talent. Our Vision . At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.Membership Rep I, II, IIIThis position may be filled at Level I, II or III based on your skills and experience. This will be determined by the hiring manager.Location: 2 Gannett Drive, South Portland, ME 04106 / 108 Leigus Road, Wallingford, CT 0649Work Hours: M-F day shift, 8:00am – 5:00pm ESTThis position will process Case Install work and will install our groups in the NE. You will be enrolling new groups and renewing existing groups.Responsible for enrollment, billing activities and/or maintaining assigned accounts.Primary duties may include, but are not limited to:

Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions and/or concerns received by phone or email

Responds to inquiries concerning enrollment processes.

Maintains enrollment database.

May order identification cards.

Performs error output resolution for electronic eligibility and processes error discrepancy list.

Screens all forms and data for all paperwork received from Sales and/or Underwriting for new group and/or group re-classing benefits.

Makes request to Underwriting, Sales or Brokers for missing information and/or forms needed for new group or re-class of existing group.

May be responsible for loading rates to new groups and renewal/re-class groups within the appropriate system.

Screens group for benefits to determine if existing or new, recognizing when benefits are not standard and handling as appropriate.

Thoroughly documents inquiry outcomes for accurate tracking and analysis.

Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

Performs basic job functions with help from co-workers, specialists and managers on non-basic issues.

Qualifications:

Requires a HS diploma or GED;

Level I: Up to 1 year of related experience;

Level II: 1-3 years relevant healthcare customer servicing experience which includes at least 1 year membership experience;

Level III: 3-5 years relevant membership experience which includes at least 2 years of membership experience;

Or, any combination of education and experience, which would provide an equivalent background.

WGS Systems experience not required, but preferred

MS Excel and Outlook proficiency preferred

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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