Job Description Hours for this position are M-F 10:30AM - 7:00PM
Responds to questions from members, groups, and dental offices regarding products and plans. This position requires resolution of problems with claims, complaints and appeals with dentists, and group enrollment. Works with a wide variety of internal resources to resolve issues to ensure customer satisfaction.
-Responds to current and prospective customer questions and complaints/appeals in a timely and empathetic manner via telephone or web inquiries -Research of complaints, appeals, claims, processing issues, benefit and eligibility requests and all communication with external and internal customers -Collaborate with Operations to review claims and decisions regarding payment -Answer inquiries from dental offices to clarify coverage levels, identify allowable procedures, and resolve claims payment issues -Builds a strong rapport with dental office staff, groups and members to ensure a positive perception of the company within the community
Requirements High school diploma or equivalent, college degree preferred Previous customer contact experience (i.e. customer call center, dental office experience, or experience within a similar insurance system) Medical or dental insurance experience, dental office or clinical assistant experience a plus Excellent communication skills (verbal and written) Attention to detail and accuracy essential
About Delta Dental of Rhode Island Delta Dental of Rhode Island is the state's leading dental insurer, administering dental benefits for nearly 738,000 members. Headquartered in Providence, we remain a symbol of strength and stability in the local dental insurance arena.
Our strength is evidenced by the fact that 95% of our customers said they were satisfied or very satisfied with our overall performance last year. And 92% said they would recommend Delta Dental to a friend or relative.
For more than 50 years, Delta Dental has provided affordable dental insurance to employers, individuals and families across the country. As the nation’s largest, most experienced dental benefits carrier, Delta Dental protects more than one-third of the estimated 166 million Americans with dental insurance- covering more than 59.5 million people in over 97,900 groups nationwide.