Claim Processing Representative, DentaQuest

Sun Life Financial-posted 8 months ago
$39,300 - $53,100/Yr
Full-time • Entry Level
Hybrid • Hines, IL
Insurance Carriers and Related Activities
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Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. The Claim Processing Representative processes entry-level and intermediate claims with a 99% or greater accuracy rate using the company's proprietary claim processing software. This role is focused on commercial business.

  • Consistently process entry level and intermediate claim queues with a 99% or greater accuracy rate.
  • Adhere to approved claim workflow requirements to maximize efficiency.
  • Serve as backup to Claim Administration team for entry-level adjustments to claims as necessary to meet corporate goals.
  • Serve as back up to call center during peak periods by taking provider and member calls to ensure corporate-wide service levels are consistently achieved.
  • Successfully complete basic claim-related projects, as assigned.
  • Other duties as needed or required.
  • Associate degree or two years of experience in a business environment.
  • Strong math competency.
  • Ability to efficiently operate computer.
  • Strong interpersonal, written and verbal communication skills.
  • Attention to detail, accuracy and organization skills are essential.
  • Self-motivation demonstrated by a readiness to learn more and assume new challenges.
  • Cooperative, professional, and effective interaction skills with co-workers, business partners, and visitors.
  • Ability to work in excess of 40 hours in one week.
  • Ability to use Microsoft Office (Word, Excel and Outlook).
  • Understanding of general insurance principles.
  • Able to follow verbal and written instructions.
  • Ability to read and comprehend at a high school level.
  • Required to attend additional training as requested/deemed necessary.
  • Generous vacation and sick time.
  • Market-leading paid family, parental and adoption leave.
  • Medical coverage.
  • Company paid life and AD&D insurance.
  • Disability programs.
  • Partially paid sabbatical program.
  • 401(k) employer match.
  • Stock purchase options.
  • Employer-funded retirement account.
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