Description
In this blended role, processes routine to moderately complex claims, while handling inbound calls and written inquiries (multiple channels) from members, providers, clients, employers, and brokers, in accordance with established performance expectations, service philosophy, and service level agreements.
NOTE: This is a temporary assignment, requires five days a week remote work within the state of Ohio, Monday through Friday.
Responsibilities
Utilizing multiple systems, applications, and reference tools, processes routine to moderately complex claims and adjustments, while providing customer service via inbound call queues and various channels of written communications (such as email, chat, and portal inquiries).
Under direction of more senior staff, conducts claims or inquiry related research.
Assists with projects as directed by management.
Performs other duties as assigned.
Qualifications
Qualifications
1 year of experience as a Claims/Customer Care Specialist or equivalent customer service experience, preferably in dental insurance, dental providers office, or the healthcare/health insurance industry.
Basic to intermediate Microsoft Office skills.
Solid knowledge of dental benefits, services, terminology, and American Dental Association coding.
Knowledge of standard customer services best practices and principles.
Knowledge of Heath Insurance Portability and Accountability Act (HIPAA).
At Medical Mutual and its family of companies we maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
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