Delta Dental of Illinois · 2 weeks ago
Customer Experience Representative
Delta Dental Of Illinois is the largest dental insurance company with over 50 years of experience dedicated to improving oral health. They are seeking a Customer Experience Representative to respond to inquiries and complaints, process claims, and maintain documentation related to adjustment requests.
DentalHealth CareHealth InsuranceInsurance
Responsibilities
Accurately respond to verbal and written inquiries and complaints directly from subscribers, providers, brokers, or group administrators
Accurately process claim adjustments during the phone call and/or during regular work time
Ability to use good judgment when applying dental knowledge when processing claims and handling client calls
Maintain and follow up on documents for all adjustment requests, check investigations, overpayment letters and e-forms
Qualification
Required
Accurately respond to verbal and written inquiries and complaints directly from subscribers, providers, brokers, or group administrators
Accurately process claim adjustments during the phone call and/or during regular work time
Ability to use good judgment when applying dental knowledge when processing claims and handling client calls
Maintain and follow up on documents for all adjustment requests, check investigations, overpayment letters and e-forms
Strong customer service skills
Excellent oral and written communications skills
Strong computer keyboard skills and capable of working in an ACD environment with talk and work time goals
Knowledge of insurance reimbursement practices, i.e. processing policies, deductibles, maximums, Coordination of Benefits (COB) and dental terminology
Excellent attendance and punctuality record
Benefits
Companywide bonus program
Tuition reimbursement
Volunteer time off
On-site fitness center
Flexibility of a hybrid work schedule
Free dental for employees and their dependents
Free vision
Life
STD/LTD for employees
Medical options for many budgets
401k and company match
Generous PTO program
11 paid holidays per calendar year
Healthy work/life balance