Benefit Advisor

Delta Dental of Arkansas•Sherwood, AR

About The Position

The Benefit Advisor answers customer inquiries by clarifying the information requested, researching available sources, and providing answers. The role resolves problems by clarifying issues and exploring possible solutions. Advisors respond to customers by phone, email, and fax, provide accurate benefit quotes and product information, review claim history and eligibility, address complaints, and assist with locating a dentist. The position also involves keeping inquiry records in an internal system and issuing identification cards upon request. Other related duties may be assigned as necessary.

Requirements

High school diploma or GED.
Entry-level experience with Microsoft applications.
Ability to remain calm when customers are stressed or upset.
Ability to learn procedure codes and dental terminology to provide customers with product and service information.
Will accept any suitable combination of education, training, or experience.

Responsibilities

Answer an average of 60 calls per day professionally and provide accurate benefit quotes and responses to inquiries by phone, email, or fax.
Stay informed about benefit changes, new enrollments, and group terminations as directed by the supervisor.
Research available sources of information to resolve problems and answer questions.
Document each telephone and written inquiry in the internal system.
Review claim history to verify member eligibility for requested services and ensure alignment with policy guidelines.
Take ownership of customer complaints and follow up on calls when needed.
Issue identification cards upon request.
Provide customers with product and service information using an understanding of procedure codes and dental terminology.
Assist customers with locating a dentist.
Perform other related assigned duties as necessary to complete the primary job responsibilities.