Claims Representative I (South Portland, ME & Roanoke, VA)

Elevance Health•Portland, ME

14h•Hybrid

About The Position

The Claims Representative I (Health & Dental) is responsible for successfully completing the required basic training. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. This position requires on-site attendance for the first day of training, with the remainder of the program conducted virtually. Full attendance (100%) is required during the entire 17-week training period.

Requirements

HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
Must pass the appropriate pre-employment test battery.
Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues.

Nice To Haves

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

Responsibilities

Learning the activities/tasks associated with his/her role.
Works under direct supervision.
Relies on others for instruction, guidance, and direction.
Work is reviewed for technical accuracy and soundness.
Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
Researches and analyzes claims issues.