Senior Dental Appeals Claims Examiner

Job not on LinkedIn

🕒 May 5

🌾 Nebraska, New Hampshire, +1 more states – Remote

🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote

💵 $25 - $30 / hour

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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Lincoln Financial

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1905

💸 Finance

👥 HR Tech

Finance • HR Tech • Insurance

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

• Analyze & process claims by investigating information • Apply claim policies & procedures and engages intervention of internal/external resources to ensure fair, ethical, & timely management of assigned claims • Analyze and interpret complex coverage contracts to determine if eligibility is met • Liaise with various stakeholders from across the business (Enrollments, DentalConnect) to obtain needed information to clarify and address issues • Provide customers with explanations of policy details and claim determination • Effectively utilize and implement policies & procedures regarding overall claims workflow • Propose and develop practices & processes to improve performance and the customer experience • Work as an individual and part of a team to ensure all new appeal assignments are acted on within department turnaround times

🎯 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 specific responsibilities for this role • 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 a team 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 collaborative style • Demonstrates the ability to use sound judgment and discretion regarding confidential information

🏖️ Benefits

• PTO/parental leave • Competitive 401K and employee benefits • Free financial counseling, health coaching and employee assistance program • Tuition assistance program • Effective productivity/technology tools and training