Customer Care Representative II at Elevance Health

Indianapolis, Indiana, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

HS diploma or equivalent
Minimum of 1 year of the company's experience in an automated customer service environment (or any combination of education and experience providing equivalent background)
Must be within reasonable commuting distance from Indianapolis, IN (unless accommodation granted)
Ability to work from home with hard-wired internet access and a quiet, private workspace (strongly preferred)

Responsibilities

Proactively resolve members' and/or providers' questions and concerns using computer-based resources
Guide members and providers with healthcare needs by explaining benefits, solving claim concerns, and helping find doctors via telephone, online chats, or emails
Partner internally to create seamless customer experiences and resolve potential issues
Analyze problems and provide information/solutions
Operate a PC/image station to obtain and extract information; document information, activities, and changes in the database
Thoroughly document inquiry outcomes for accurate tracking and analysis
Develop and maintain positive customer relations; coordinate with various company functions to handle customer requests and questions appropriately and timely
Research and analyze data to address operational challenges and customer service issues
Provide external and internal customers with requested information

Skills

Customer Service

Healthcare Benefits

Claims Processing

Provider Relations

Telephone Support

Online Chat

Email Communication

PC Operation

Database Documentation

Problem Solving

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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