[Hiring] Dental Claims Approver II @Guardian Life Insurance

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This entry level Dental Claims Approver within Group Dental Claims supports Guardian by processing the customer’s claims timely and accurately.

• Can succeed in a highly driven production, quality and team environment.
• Seeks developmental opportunities to help you grow in your position and career with Guardian.
• Displays honesty and seeks feedback to understand your strengths and areas of improvement.
• Is self-disciplined and able to work independently in a remote work environment.
• Process data entered, scanned, electronically submitted dental claims.
• Be flexible and adaptable in an ever-changing work environment.
• Ability to handle pressure in a production and quality focused position.
• Open and receptive to giving and receiving feedback.
• Ability to interact effectively with all internal and external customers.
• Demonstrate mathematical, analytical, organizational, problem solving & relationship building skills.
• Dependable with good attendance.
• Willing to work overtime when requested.
• Strong oral and written communication skills.
• Ability to work well independently, persistent drive to meet department/organization goals.
• Shows agility, as well as the ability to quickly learn or adopt new skill sets.
• Proficient PC navigation skills including mainframe systems.
• Maintains a high sense of priorities & uses solid judgment to make routine decisions.
• Genuine and consistent drive to champion the customer. A Dental Claims Approver reviews and processes claims that cannot be processed automatically by our mainframe system. An Approver’s responsibilities may include, but are not limited to:
• Applying state laws to the processing of initial claims and appeals.
• Referring claims to consulting dentists to determine necessity of treatment.
• Investigating and responding to written appeals, inquiries, and complaints.
• Following up on claims that need additional information or are pending in our system. This is not a customer service/call center position. No phone work is required. Our department is open from 6:00 AM PST to 6:00 PM PST, and colleagues work 40 hours a week and need to meet and maintain productivity and quality goals. During training, the scheduled start time will be between 6:00 AM PST and 8:00 AM PST. At times throughout the year, especially during our peak seasons, we require overtime to meet our service requirements.

Qualifications

• High school diploma or equivalent.

Requirements

• Ability to work independently and in a team environment.
• Strong attention to detail and accuracy.
• Ability to manage time effectively and meet deadlines.

Benefits

• Comprehensive health insurance.
• 401(k) with company match.
• Annual bonus target of 3%.

Company Description

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. Apply tot his job Apply tot his job Apply tot his job Apply To this Job