Claims Representative ; Cincinnati, OH

Claims Representative I (Health & Dental)

Location: 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.

Please note that per our policy on hybrid/virtual work, 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 2 days of training, with the remainder of the program conducted virtually. Full attendance (100%) is required during the entire 17‑week training period.

Start date: 7/27/2026

Hours: 8:30 AM – 5 PM EST the first two days of training then 8 AM – 4:30 PM EST the rest of training and after.

The Claims Representative I (Health & Dental) is responsible for successfully completing the required basic training. They are able to perform basic job functions with help from co‑workers, specialists, and managers on non‑basic issues. Must pass the appropriate pre‑employment test battery.

• 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.

• HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.

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

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.