Anthem In. Case Management Jobs

Job Information

Anthem, Inc. Disability Case Manager in Atlanta, Georgia

Description

SHIFT: Day Job

SCHEDULE: Full-time

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 care companies and a Fortune Top 50 Company.

Primary duties may include, but are not limited to:

Responsible for reviewing, investigating and documenting Short Term Disability (STD) and Long Term Disability (LTD) claims to determine eligibility for benefits. Primary duties may include, but are not limited to: Reviews claim materials against disability policy coverage and duration guidelines to determine liability and adjudicates the claim. Gathers clinical and eligibility information to verify approved period of disability. Works with Disability Case Management Nurses and Physician Reviewers to review complex/questionable claims. Maintains up-to-date knowledge of company products and services. Knowledge of ERISA, Fair Claims Practices Model Act, privacy regulations, punitive damages statues and state and federal laws governing group insurance. Administers disability income payments on behalf of group policyholders. Obtains necessary agreements to determine FICA, and Federal and State income tax requirements. Monitors and acts on potential benefit reductions under contract fraud, misrepresentation and malingering.

Here’s what Anthem offers:

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. An Equal Opportunity Employer/Disability/Veteran

Qualifications

Requires a High School diploma or GED; 2 years of experience in Disability Case Management, up to 2 years experience in claims or customer service preferably in the managed care or healthcare insurance industry; or any combination of education and experience, which would provide an equivalent background. BA/BS degree preferred. 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. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.

REQNUMBER: PS47778

DirectEmployers