Commercial Dental Associate, DentaQuest

Sun Life • Kansas City, KS

5d

About The Position

The Commercial Dental Representative will involve handling customer service inquiries via phone and some dental claims processing. The ideal candidate will have excellent communication skills, a strong comprehension of dental insurance, and the ability to manage both customer interactions and administrative tasks efficiently.

Requirements

• High school diploma or equivalent
• Previous experience in a call center, customer service, or claims processing environment (preferred).
• Knowledge of dental insurance plans, benefits, and terminology (strongly preferred).
• Excellent verbal and written communication skills.
• Strong problem-solving abilities and attention to detail.
• Ability to manage time effectively and handle multiple tasks simultaneously.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with CRM systems or claims processing software.
• Ability to maintain professionalism in a fast-paced, customer-focused environment.
• Strong social and communication skills to build rapport with customers and providers.
• Ability to work without supervision as well as part of a team.
• Excellent organizational and multitasking abilities.
• Ability to work under pressure and meet deadlines while maintaining high-quality work.

Nice To Haves

• Knowledge of dental terminology and procedures is highly beneficial.

Responsibilities

• Serve as the primary point of contact for members, dental offices, and providers via phone, email, or online inquiries.
• Answer questions related to dental benefits, claims status, and general dental plan inquiries.
• Resolve issues or concerns regarding claims, billing, coverage, and other customer service-related matters.
• Document all customer interactions accurately in the system.
• Provide clear explanations of policies, procedures, and benefits to callers.
• Maintain a high level of professionalism, empathy, and customer service during all interactions.
• Verify dental benefits and eligibility for members and providers.
• Communicate claim status and outcomes to providers and members, including providing detailed explanations for claim outcomes.
• May include processing some dental claims pend types in accordance with company policies and procedures.
• May perform claim adjustments on a defined set of claim types
• Ensure claims are accurate, complete, and comply with relevant guidelines and regulations.
• Resolve any discrepancies or issues related to claim denials or rejections.
• This may include modifying or adjusting some claim types.
• Maintain confidentiality and adhere to HIPAA guidelines when processing claims and handling confidential information.

Benefits

• At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
• Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account.
• Enjoy a flexible, inclusive and collaborative work environment that supports career growth.
• We’re proud to be recognized in our communities as a top employer.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees