Customer Experience Representative

DELTA DENTAL OF ILLINOIS•Naperville, IL

8d•$20 - $24•Hybrid

About The Position

We are looking for a Customer Experience Representative who can accurately respond to verbal and written inquiries and complaints directly from subscribers, providers, brokers, or group administrators. This role involves accurately processing claim adjustments during phone calls and/or during regular work time, utilizing good judgment when applying dental knowledge for claims processing and client call handling. The representative will also maintain and follow up on documents for all adjustment requests, check investigations, overpayment letters, and e-forms. Delta Dental of Illinois is the largest dental insurance company with over 50 years of oral health experience, dedicated to clients and employees alike. Our company culture is diverse, innovative, and focused on achieving goals, with a mission to improve oral health through dental benefit programs and our Foundation.

Requirements

Strong customer service skills.
Excellent oral and written communications skills.
Strong computer keyboard skills and capable of working in an ACD environment with talk and work time goals.
Knowledge of insurance reimbursement practices, i.e. processing policies, deductibles, maximums, Coordination of Benefits (COB) and dental terminology.
Excellent attendance and punctuality record.

Responsibilities

Accurately respond to verbal and written inquiries and complaints directly from subscribers, providers, brokers, or group administrators.
Accurately process claim adjustments during the phone call and/or during regular work time.
Use good judgment when applying dental knowledge when processing claims and handling client calls.
Maintain and follow up on documents for all adjustment requests, check investigations, overpayment letters and e-forms.