Dental Claims Approver II

About the position

The Retail Dental Claims Approver position at Guardian is an entry-level role focused on providing high-quality service and collaborative claim management. The role involves processing dental claims that cannot be automatically handled by the mainframe system, ensuring accuracy and compliance with state laws. The position is designed for individuals with diverse educational backgrounds and emphasizes the importance of strong attention to detail, time management, and a commitment to continuous learning.

Responsibilities

• Process data entered, scanned, electronically submitted, and dental claims that can't be pended.
• Switch mail types when requested.
• Handle pressure in a production environment.
• Demonstrate analytical, organizational, problem-solving, and relationship-building skills.
• 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 attention to detail.
• Ability to work independently and meet productivity and quality goals.
• Strong oral and written communication skills.
• Proficient PC skills including mainframe systems.
• Ability to follow standard operating procedures and navigate multiple computer applications.
• Good attendance and willingness to work overtime when requested.

Nice-to-haves

• Experience in a fast-paced, production-focused environment.
• Demonstrated self-awareness and ability to embrace feedback.
• Genuine passion for service.

Benefits

• 401(k) retirement plan with company match
• Unlimited paid time off
• Flexible work arrangements
• Health care accounts
• Life and Disability insurance
• Emotional well-being resources
• Tuition reimbursement
• Adoption assistance
• Commuter benefits in select areas