SCA Claims Team Lead

Locations: Preferred locations of employment are locations near an FHPS office will be considered IN- Indianapolis or PA-Harrisburg. Elevance Health supports a hybrid workplace model with pulse point sites (major office) used for collaboration, community, and connection. This position will be primarily virtual, however will be based within 50 miles of an Elevance Health PulsePoint location. This position is available for flex hours starting between 6am- 9am EST.

National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.

Pay: the pay for this position varies by location, is set by the government, and is non-negotiable .

The pay is as follows:

• Indianapolis, IN - $18.77

• Harrisburg, Pennsylvania- $17.20

The SCA Claims Team Lead is responsible for the day-to-day leadership, guidance and training of Claims Processors in the NGS business unit. Fully proficient in all key areas; performs many complex functions. Must be able to successfully perform all the duties of the NGS Customer Care Rep II, including analysis of problems and provides information/solutions. Operates a PC to obtain and extract information; documents information, activities and changes in the database. Thoroughly documents inquiry outcomes for accurate tracking and analysis.

How you will make an impact:

• Develops and maintains positive relations and coordinates with various functions within the company to ensure requests and questions are handled appropriately and in a timely manner.

• Researches and analyzes data to address operational challenges and service issues.

• Provides external and internal customers with requested information.

• Proficient in all basic customer service functions.

• Responds to inquiries from callers for information and assistance.

• Monitors all daily inventory levels of NGS Customer Service Reps.

• Troubleshoots advanced, specific problems/issues.

• Knowledgeable in finance/financial systems to be able to assist with inquiries.

• Experience in coaching, both virtually and face to face, is preferred.

• Performs research to respond to inquiries and interprets policy provisions to determine most effective response.

• Required to meet department goals and expectations.

Minimum Requirements:

• Requires a HS diploma or GED; 3 to 5 years of NGS experience in an automated customer service environment; or any combination of education and experience, which would provide an equivalent background.

• This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years.

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed .