SCA Claims Processor I

Elevance Health • Indianapolis, IN

2d • Remote

About The Position

The SCA Claims Processor I codes and processes claim forms, including manually reviewing Medicare Part B professional claims. The role resolves edits and audits to support accurate, timely adjudication of suspended claims, checks that required information is present before eligible claims are paid, and researches and analyzes claims issues. This position works under direct supervision and relies on others for instruction, guidance, and direction.

The role is primarily virtual full-time, with required in-person training sessions. Candidates generally must live within a reasonable commuting distance of the posting location unless an accommodation is granted as required by law. For Wellpoint Federal, foreign national applicants must have lived in the United States for at least three of the past five years. The listed non-negotiable hourly rate for candidates working in New York or Massachusetts is $17.75.

Requirements

• High school diploma or equivalent.
• For foreign national applicants to the Wellpoint Federal division: must have lived in the United States for at least three of the past five years.

Nice To Haves

• Good oral and written communication skills.
• Previous experience using a PC, database system, and related software such as Microsoft Word and Excel.
• Experience with healthcare insurance claims processing.
• Strong data entry skills.
• Strong attention to detail.
• Prior experience with Microsoft Office products.

Responsibilities

• Resolve edits and audits to ensure accurate and timely adjudication of suspended claims.
• Code and process claim forms for payment, ensuring all required information is supplied before eligible payments are made.
• Research and analyze claims issues.
• Learn the activities and tasks associated with the role.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase plan.
• 401(k) contribution and matching.
• Merit increases.
• Paid holidays.
• Paid time off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical, dental, and vision benefits.
• Short- and long-term disability benefits.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED