Delta Dental of New Jersey and Connecticut · 6 days ago
Customer Service Associate
Parsippany, NJ, US
Full-time
Hybrid
Entry Level
$24.29/hr - $24.29/hr
1+ years expDelta Dental of New Jersey and Connecticut is the state's largest dental coverage provider, serving over 1.7 million people. They are seeking a Customer Service Associate to resolve customer issues, explain group contracts, and adjudicate dental claims.
DentalHealth CareInsurance
Responsibilities
Adhering to the Agent’s schedule, the Agent is required to be available on the call center ACD to answer customer calls while meeting and exceeding department KPI’s
As a team member, researches and resolves inquiries and responds to customers with an appropriate and accurate written or verbal notification
Calculates adjustments and creates and processes claims for adjusted payments
Creates and processes standard claims, claims with coordination of benefits, pre-treatment estimates, and pretreatment estimates with dated services
Maintains and updates subscriber files with information obtained through inquiries and submitted claims and documents, i.e., individual and family on hold codes, applied or removed
Performs all tasks necessary to resolve all questions based on Delta Dental’s claims processing guidelines and Dentist handbook, as well as Delta Dental’s website and mobile application
Documents each inbound call in call tracking, follow up, or any pended requests
Generates check research requests for outstanding payments
Understands all claim guidelines and effectively uses this information to resolve related inquiries
Researches and resolves requests from other departments such as Marketing and Enrollment
When necessary, refers claims or subscriber eligibility to Management or other departments such as Professional Services, Claims, Marketing and Enrollment
Supports and participates as needed for inventory reduction tasks such as correspondence and/or call tracking
Other duties as assigned
Qualification
Required
1-3 years customer service or call center experience
Requires a high school diploma or equivalent
Ability to regard customer service excellence as a priority
Personal computer skills with knowledge of MS applications such as Windows, Word and Excel and browser based applications such as Internet Explorer
Excellent communication and listening skills
Excellent math aptitude
Creativity and flexibility when solving problems
Ability to work in an environment where work is carefully monitored for accuracy
Ability to sit and perform extensive close keyboard and PC work including data entry
Ability to walk, talk, and hear
Occasionally required to stand and reach with hands and arms
Ability to meet attendance standards
Must be able to sit/stand, talk and hear
Preferred
Dental Assistant education/experience is a plus
A bachelor's degree is a plus
Benefits
Medical
RX
Dental and vision
Life insurance
Short and long term disability
Spending accounts
Matching 401k
Learning and development
Recognition programs
Active wellness and diversity initiatives
Tuition reimbursement
Generous paid time off to recharge
Paid time off to volunteer at causes that you care about
Company
Delta Dental of New Jersey and Connecticut
Delta Dental of New Jersey is a member of the national Delta Dental Plans Association, which serves nearly one-third of the estimated 166 million Americans with dental benefits, providing dental coverage to over 60 million people in nearly 111,000 groups across the nation.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Dennis G. Wilson
CEO-Retired; Special Advisor, Delta Dental Board of Trustees
Recent News
New Jersey Business Magazine
2024-04-28
2024-04-28
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