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Dental Claims Approver II
$30,350 - $45,530/Yr
Guardian Life - Augusta, ME
posted 2 months ago
Full-time - Entry Level
Remote - Augusta, ME
5,001-10,000 employees
Insurance Carriers and Related Activities
About the position
The Dental Claims Approver II position at Guardian Life is an entry-level role focused on providing high-quality service and collaborative claim management for dental claims. The role emphasizes attention to detail and efficient processing of claims that cannot be automatically handled by the mainframe system. The position offers a strong onboarding and training program to develop foundational skills in claims processing and insurance policy understanding.
Responsibilities
- Review and process dental claims that cannot be processed automatically.
- Apply state laws to the processing of initial claims and appeals.
- Refer claims to consulting dentists to determine the necessity of treatment.
- Investigate and respond to written appeals, inquiries, and complaints.
- Follow up on claims that need additional information or are pending in the system.
Requirements
- Strong time management skills.
- Ability to succeed in a fast-paced, production-focused environment.
- Deliver high-quality results while working independently.
- Demonstrate self-awareness and embrace feedback.
- Eager to continuously learn and retain new knowledge and skills.
- Ability to follow standard operating procedures and navigate multiple computer applications.
- Demonstrate analytical, organizational, problem-solving, and relationship-building skills.
- Good attendance and willingness to work overtime when requested.
- Strong oral and written communication skills.
- Ability to work well independently and meet department/organization goals.
- Proficient PC skills including mainframe systems.
- Demonstrate honest and ethical behavior.
- Maintain a high sense of priorities and use solid judgment to make routine decisions.
Nice-to-haves
- Experience in claims processing or insurance industry.
- Familiarity with dental terminology.
Benefits
- 401(k) retirement plan with company match
- Unlimited paid time off
- Flexible work arrangements
- Paid parental leave
- Tuition reimbursement
- Adoption assistance
- Wellness programs
- Emotional well-being resources
- Commuter benefits in select areas
