Senior Dental Appeals Claims Examiner

🔥 14 hours ago

🌾 Nebraska – Remote

🌾 Nebraska – Remote

💵 $25 - $35 / hour

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Lincoln Financial

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1905

💼 Consulting

⚖️ Legal

💸 Finance

Consulting • Legal • Finance

Lincoln Financial is an organization dedicated to protecting the privacy and security of its job applicants. It actively informs candidates about potential recruitment scams and outlines its robust hiring procedures, making clear that they do not request sensitive personal information during the application process. The company offers a diverse range of career opportunities across various fields including actuarial, finance, legal, and customer service, and is committed to maintaining equal employment opportunities.

📋 Description

• Independently review denied dental claim appeals • Analyze and process claims by investigating information • Apply claim policies and procedures and engage internal/external resources • Analyze and interpret complex coverage contracts to determine eligibility • Liaise with Enrollments, DentalConnect and other stakeholders to obtain information • Explain policy details and claim determinations to customers • Implement policies and procedures for claims workflow • Propose and develop practices and processes to improve performance and customer experience • Work individually and as part of a team to act on appeal assignments within department turnaround times • Ensure accurate, compliant and timely decisions while protecting PHI

🎯 Requirements

• High School diploma or GED or minimum Associate degree in lieu of required experience • 3–5+ years of dental claims processing experience directly aligned to the role • Understanding of dental medical terms, records and test results • Ability to read, analyze and interpret dental policies • Strong written and verbal communication • Ability to work with others in a team environment • Excellent organizational skills and ability to prioritize workload and multitask while maintaining strict attention to detail • Strong interpersonal skills with a collaborative style • Sound judgment and discretion regarding confidential information

🏖️ Benefits

• Clearly defined career tracks and job levels • 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 • Flexible work arrangements • Productivity/technology tools and training • Annual Incentive Program eligibility • Potential long-term incentives and sales incentives