Claims and Customer Care Specialist

About the position Responsibilities • Processes routine claims while providing customer service via inbound call queues. • Handles inbound calls and written inquiries from members, providers, clients, employers, and brokers. • Conducts claims or inquiry related research under the direction of senior staff. • Assists with projects as directed by management. • Mentors and trains junior team members in claims processing and customer service. • Conducts complex claims research projects in response to inquiries and escalations. • Provides troubleshooting support for claims issues. Requirements • Associate degree in business or healthcare administration, communications or related field or equivalent combination of training and experience. • 1-5 years of customer service and/or claims experience, preferably in a call center in the health or dental insurance industry. • Basic to advanced Microsoft Office skills depending on the level of the position. • Knowledge of dental benefits, services, terminology, and American Dental Association coding. • Understanding of standard customer service best practices and principles. • Knowledge of the Health Insurance Portability and Accountability Act (HIPAA). Nice-to-haves • Certified Dental Billing Specialist (CDBS), Certified Dental Coder (CDC), or Certified Dental Assistant (CDA) certification. Benefits • Employee bonus program. • 401(k) with company match up to 4% and additional company contribution. • Health Savings Account with company matching contribution. • Excellent medical, dental, vision, life, and disability insurance. • Access to an Employee Assistance Program for counseling and coaching. • Company holidays and up to 16 PTO days in the first year, with options to carry over unused PTO. • Parental leave for eligible employees after 120 days of service. • Career development programs and classes. • Tuition reimbursement up to $5,250 per year. Apply tot his job Apply To this Job