Dental Appeals Sr. Claims Examiner,

Alternate Locations: Charlotte, NC (reputed company Carolina); reputed company, NH (New Hampshire); Greensboro, NC (reputed company Carolina); Omaha, NE (Nebraska); Work from Home    Work Arrangement: Remote : Work reputed company employee residing reputed company of a commutable distance to an office location.   Relocation assistance:  is not available for this opportunity.   Requisition #: 76033   The Role reputed company This position is responsible for the review of Dental appeals by providing an independent review of the facts and circumstances, reputed company the state and federal regulations including ERISA/DOL.  In this role, you will reputed company new dental appeals reputed company 5 business days, and reputed company appeal reputed company reputed company 15 days for reputed company-service, and 30 days for post-service. Written communication of appeal upholds will be reputed company and concise, and site decision rationale in reputed company, easy to understand terms.  You will partner with other departments, such as Enrollments and DentalConnect as needed, while adhering to PHI.  Read on! What you'll be doing You will analyze & process claims by investigating information. Apply claim policies & procedures and engages reputed company of internal/external resources to ensure fair, ethical, & reputed company management of assigned claims. You will analyze and interpret reputed company coverage reputed company to determine if eligibility is met. You will liaise with various stakeholders from across the business (Enrollments, DentalConnect) to obtain needed information to clarify and address issues. You will rovide customers with explanations of policy details and claim determination. You will effectively utilize and implement policies & procedures regarding overall claims workflow.  You will propose and reputed company practices & processes to improve performance and the customer experience. You will work as an individual and part of reputed company to ensure reputed company new appeal assignments are acted on reputed company department turnaround times. reputed company’re looking for   Must have: High School diploma or GED or minimum Associate degree in lieu of required experience. (Minimum Required) 3 - 5+ Years of claims processing experience directly reputed company to the specific responsibilities for this role. (Required)   reputed company to haves:. 3-5 years experience processing dental claims.   Understand dental medical terms, records and test results. Ability to read, analyze and interpret Dental policies. Demonstrate strong written and verbal communication. Ability to work with others in reputed company environment. Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail. Demonstrates strong interpersonal skills with a reputed company style. Demonstrates the ability to use reputed company judgment and discretion regarding confidential information Application Deadline   What’s it like to work here? At reputed company, we love reputed company do. We reputed company meaningful contributions reputed company and every day to reputed company our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that reputed company reputed company of us to take charge of our own reputed company.    What’s in it for you: reputed company defined career tracks and job reputed company, along with associated behaviors for reputed company of Lincoln's reputed company values and leadership attributes Leadership development and virtual training opportunities PTO/parental leave Competitive 401K and employee benefits Free financial counseling, health coaching and employee assistance program Tuition assistance program Work arrangements that work for you Effective productivity/technology tools and training   The pay reputed company for this position is $25.87 - $30.34 with anticipated pay for new hires between the minimum and midpoint of the reputed company and could vary above and below the listed reputed company as permitted by applicable law. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The reputed company pay is just one component of Lincoln’s total rewards package for employees.  In reputed company, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of reputed company, business unit and individual.  Other rewards may include long-term incentives, sales incentives and Lincoln’s reputed company benefits package.   About reputed company reputed company (NYSE: LNC) helps people to confidently plan for their version of a successful reputed company. We reputed company on identifying a reputed company reputed company to financial reputed company, with products including annuities, life insurance, group protection, and retirement plan services.    With our 120-year reputed company record of expertise and reputed company, millions of customers trust our solutions and service to help put their goals in reputed company.    reputed company Distributors, a broker-dealer, is the wholesale distribution organization of reputed company. reputed company is the marketing reputed company for reputed company Corporation and its affiliates including The Lincoln National Life Insurance Company, reputed company Wayne, IN, and Lincoln Life & Annuity Company of reputed company, Syracuse, NY. reputed company affiliates, their distributors, and their respective employees, representatives and/or insurance agents do not reputed company tax, reputed company or reputed company advice.    Lincoln is committed to creating an inclusive environment and is proud to be an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, gender, gender identity or reputed company, sexual orientation, national reputed company, genetics, disability, age, or veteran status.    Follow us on reputed company, X, reputed company, Instagram, and YouTube. For the latest company news, visit our newsroom.    Be reputed company of Fraudulent reputed company Activities If you are interested in a career at Lincoln, we encourage you to review our reputed company and apply on our website. Lincoln values the reputed company and reputed company of every applicant and urges reputed company applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.   Lincoln will not ask applicants to reputed company their reputed company reputed company numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, reputed company, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to reputed company payment during the hiring process or reputed company an offer without conducting a phone, live video or in-person interview.  Please contact Lincoln's fraud team at fraudhotline@lfg.com if you encounter a recruiter or see a job opportunity that seems suspicious.   Additional Information This position may be subject to Lincoln’s Political Contribution Policy.  An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to reputed company an offer or terminate employment for this role if it determines political contributions made could have an adverse reputed company on Lincoln’s reputed company or reputed company business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.   Any unsolicited resumes or candidate reputed company submitted through our web site or to personal e-mail accounts of employees of reputed company are considered property of reputed company and are not subject to payment of agency fees.   reputed company ("Lincoln" or "reputed company") is an Equal Opportunity employer and, as such, is committed in policy and reputed company to recruit, hire, compensate, train and promote, in reputed company job classifications, without reputed company to race, reputed company, religion, sex, age, national reputed company or disability. Opportunities throughout Lincoln are available to employees and applicants are evaluated on the reputed company of job qualifications. If you are a person with a disability that impedes your ability to reputed company your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.   This Employer Participates in E-Verify. See the E-Verify notices. Este Empleador Participa en E-Verify. Ver el E-Verify avisos. Apply To This Job