Delta Dental Ins. · 20 hours ago
Claim Examiner II
Alpharetta, GA, United States
Full-time
Hybrid
Mid Level
$37K/yr - $75K/yr
3+ years expDelta Dental Ins. is dedicated to safeguarding the health and financial stability of its employees and their loved ones. The Claim Examiner II is responsible for reviewing complex claims for accuracy and compliance, processing claims, and ensuring quality standards are met.
Health CareHealth InsuranceInsurance
Responsibilities
Performs first- and second-level claim review and inputs corrections to enable system adjudication of claims
Adjudicates claims in accordance with company and/or regulatory guidelines
Collaborates with appropriate department(s) based on company and/or regulatory guidelines to enable accurate claim adjudication
Refer escalated claims or process issues to management as appropriate
Qualification
Required
3+ years of experience w/High School
2+ years' experience in a similar role; Associate degree preferred. Required to successfully complete level 1 and level 2 training and examinations
Analytical, problem solving and reasoning skills; detail orientation
Good organizational/time management skills and multi-tasking abilities
Ability to work under pressure and meet deadlines
Ability to follow verbal and written instructions
Ability to effectively communicate problems/questions/explanations
Preferred
Knowledge of Delta Dental systems/organization and knowledge of health care industry issues preferred
Benefits
401(k) with robust matching and non-matching contributions
Rich medical & pharmacy benefits
100% employer-paid dental and vision benefits
Holistic wellbeing program with deep financial incentives
Generous paid time off plus 12 paid holidays and your birthday off
Culture of growth and learning: career development; tuition reimbursement; recognition program
Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
Social responsibility and volunteer opportunities
Employee discount program
Company
Delta Dental Ins.
At Delta Dental, we’re behind millions of smiles and counting.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Ed Goldman
VP, Infrastructure & Operations
Ben Sieke
Director, Talent Development and Learning
Recent News
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2025-10-20
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