Dearborn, Michigan

Description

SHIFT: Day Job

SCHEDULE: Full-time

Title Description    Job Class UNION    Level    Summary of Job Classification
Unit Specialist    9    1 level  

Your 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.

Due to the current COVID-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the expectation that you will return to a regular, in-office work environment. As we continue to monitor guidance from CDC and state officials there may be times you would need to report to the office on a monthly or quarterly basis for team meetings or engagement activities. 

PURPOSE:  The Unit Specialist provides technical and support services to all claim personnel.  Assists the supervisor in controlling the workflow of the unit and handles special project requests.  The Unit Specialist deals with sensitive cases and technical questions on which claim personnel requires confirmation, additional information or instruction; covers for claim load backup due to unusual volume, a shortage of claim personnel, or emergency situations; assures continuity of workflow by assisting in the day-today assignment and redistribution of case work.  Handles the more complicated or sensitive telephone inquiries and correspondence.


DUTIES AND RESPONSIBILITIES:
•    Performs claim audits as needed and mentors to ensure quality work in performed 
•    Assist with training as needed
•    Functions as the lead to staff by providing technical expertise in the resolution of 
     complex issues
*    Backup up for claim processing 
•    Provides timely and accurate resolution of inquiries and issues regarding claim files completing research as needed.
•    Organizes and monitors daily processes for quality and timely completion.
•    Acts in the capacity of the supervisor in their absence in reference to workflow 
•    Assists with Special Projects
•    Other duties as assigned

 

Qualifications

QUALIFICATIONS:
•    High School Diploma
•    Ability to functions as the lead to staff by providing technical expertise in the resolution of complex issues as they relate to claim processing
•    Ability to work well with people
•    Able to work without significant guidance.
•    Comprehensive knowledge of group insurance principles and practices.
•    Proficient contractual understanding of group Short Term Disability, Extended Disability Benefits and Long Term Disability.
•    Computer Skills required
•    Excellent oral and written communication skills
 

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.

Dearborn, Michigan

As one of America’s largest health benefits companies, we at Anthem have a profound appreciation for service. Our organization proudly supports our Nation’s active, reserve, and veteran military service members and their spouses.

This is an exciting opportunity to advance your life and career, while still protecting and serving others. Come see for yourself why Anthem is recognized as a Top Employer by GI Jobs and among the “Best of the Best: Top Veteran Friendly Companies” by US Veterans Magazine.

Who We Are Looking For 

Anthem, Inc. is seeking military veterans across the country who bring a deeply rooted skillset that includes team-oriented approaches to problem-solving, demonstrations of leadership and an overall commitment to the mission of the organization.  If you are a military veteran or military veteran spouse, Anthem, Inc. is looking to hire you.

Join Anthem's Military and Veteran Talent Network: https://anthemcareers.ttcportals.com/pages/military

Should I Apply?

Are you a transitioning member of the military or a military veteran who is looking for a civilian career that provides opportunities for growth and career advancement?  Anthem, Inc. is currently looking for job seekers with  Operations experience.  If you are interested in a career in one of these fields, check out our current open positions to the right for more information and to apply today!

What Happens After I Apply?

Once you click ‘Apply Now’ on an Anthem, Inc. job posting, you will be re-directed to fill out an application on Anthem's career page.  In order to be considered for next steps, please complete the application on Anthem's career page and make sure you have an updated resume uploaded to your RecruitMilitary profile.  Once Anthem, Inc. reviews your resume and profile, a recruiter will reach out to provide you with more information and to schedule you for an interview.

How to Win An Interview

1.     Review the job description for the specific position you are applying for.

2.     Review the company website. Know their mission and values. What do they do? What are their products?

3.     Prepare a few questions to ask on your interview.

4.     Prepare to discuss your military or civilian background and how it relates to the position. 

5.     Check out our Resources tab for resume guidance, interview prep and more!

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