What are the responsibilities and job description for the Dental Claims Approver (REMOTE) position at Guardian Life Insurance Company?
Dental Claims Approver (REMOTE) - (21002935)
Description
Position Summary:
Position Summary:
Are you a driven, service-oriented individual looking for a great career? If yes, read more to find out about who we are and the possibilities we can offer you.
This entry level Dental Claims Approver within Group Dental Claims supports the Guardian’s Sales efforts by providing exceptional customer service.
You are:
- Continuously strives to provide superior products and customer service.
- Expresses oneself in an open and honest manner.
- Demonstrates self-awareness and embraces feedback.
We understand that no one majors in insurance while they are in college, and that knowledge of insurance should not limit your qualifications for our available positions. In fact, Guardian is seeking individuals with educational diversity to fuel our exciting and dynamic work environment.
This position is focused on providing high-quality service and collaborative claim management to our members.
You will start your career with a strong onboarding and progressive training program. You will be exposed to how an insurance policy works, business writing, and claims processing. The foundational skills that you will learn involve how to process claims and provide an exceptional customer experience.
The skills and knowledge that you acquire will ensure a high level of customer satisfaction and serve as a foundation to further develop your understanding of what Guardian has to offer.
This position is focused on providing high-quality service and collaborative claim management to our members.
You will start your career with a strong onboarding and progressive training program. You will be exposed to how an insurance policy works, business writing, and claims processing. The foundational skills that you will learn involve how to process claims and provide an exceptional customer experience.
The skills and knowledge that you acquire will ensure a high level of customer satisfaction and serve as a foundation to further develop your understanding of what Guardian has to offer.
You have the following functional skills & position qualifications:
- Process data entered, scanned, electronically submitted, & dental claims that can’t be pended.
- Be able to switch mail types when requested.
- Ability to handle pressure in a production environment.
- Ability to interact effectively with all internal and external customers.
- Demonstrate analytical, organizational, problem solving & relationship building skills.
- 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 skills including mainframe systems.
- Maintains a high sense of priorities & uses solid judgment to make routine decisions.
- Genuine and consistent passion for service.
You will:
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 hit productivity and quality goals. During training, the scheduled start time will be between 6:00 AM and 8:00 AM.
- At times throughout the year especially during our peak seasons we require overtime to meet our service requirements.
Reporting Relationships:
This position reports to the Team Leader, Group Dental Claims, who in turn reports to the Manager, Group Dental Claims
Location & Vaccination Requirements:
- The primary location for this position is remote, with an “at home” work arrangement.
- Covid – 19 vaccinations not required unless you voluntarily visit one of our campus locations or are attending an in-person company sponsored event.
Travel:
0% of travel required for this role.
Qualifications
Our promise:
Our promise:
- 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
We offer:
- Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
- Competitive compensation package.
- Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
- Life and disability insurance.
- A great 401(k) with company match.
- Tuition assistance, paid parental leave and backup family care.
- Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
- Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
- Employee Resource Groups that advocate for inclusion and diversity in all that we do.
- Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.
#GuardianOPS
About Guardian:
Guardian has been helping people protect their futures and secure their lives for 160 years. Every day, we serve approximately 29 million people through a range of insurance and financial products. We help people and their families pursue financial security and well-being in life, health, and wealth. We help companies take care of their employees. And we help people recover and thrive after unexpected loss.
From our founding in 1860, when a community of immigrants joined together to insure and protect their businesses and families, doing the right thing for our policyholders and customers has guided everything we do. Our dedication to customers has helped us remain one of the most highly rated in client satisfaction and financial strength. And as one of the largest mutual insurance companies, we know what matters most: putting the needs of our customers first. Because everyone deserves a Guardian. Learn more about Guardian at www.GuardianLife.com.
© Copyright 2021 The Guardian Life Insurance Company of America, New York, NY
Equal Employment Opportunity:
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
Primary Location: United States
Job: Claims
Schedule: Full-time
Shift: Day Job
Job Type: Standard
Travel: No
Job Posting: Dec 14, 2021, 10:54:14 AM
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