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Customer Service Representative
2 months ago
The Customer Experience Representative is responsible for delivering exceptional service to our clients through effective communication, troubleshooting, and resolving dental claim-related inquiries.
Key Responsibilities:
• Utilize dental terminology to accurately process claims and handle client calls.
• Respond to verbal and written inquiries and complaints from subscribers, providers, brokers, or group administrators.
• Process claim adjustments during phone calls and/or regular work time.
• Review and process claims according to established business rules that have failed computer program edits.
• Maintain and follow up on documents for all adjustment requests, check investigations, overpayment letters, and e-forms.
• Complete and maintain daily logs, forms, and reports.
• Assist in new representative training and complete special projects within specified time frames.
• Continuously train on calls and claims with further progression based on meeting performance requirements.
• Access EPHI following current guidelines established at the company-wide and department levels.
• Maintain regular attendance and punctuality.
Requirements:
• Ability to provide feedback to CS leadership or team members to contribute to one common goal.
What We Offer:
Delta Dental is committed to providing a supportive and dynamic work environment that fosters growth and development. As a Customer Experience Representative, you will have the opportunity to work with a talented team and contribute to the success of our organization.
