Dental Claims Approver II

Guardian Life Insurance•Work From Home - PA, PA

5d•$31,660 - $47,485•Remote

About The Position

This entry level Dental Claims Approver within Group Dental Claims supports Guardian, by processing the customer’s claims timely and accurately. You are someone who can succeed in a highly driven production, quality and team environment. You seek developmental opportunities to help you grow in your position and career with Guardian. You display honesty and seek feedback to understand your strengths and areas of improvement. You are self-disciplined and able to work independently in a remote work environment. Guardian is seeking individuals with educational diversity to fuel our exciting and dynamic work environment. You will start your career with a strong onboarding and progressive training program. You will be exposed to how an insurance policy works, business writing, and claims processing. The foundational skills that you will learn involve how to process claims and provide an exceptional claims experience for our customers. The skills and knowledge that you acquire will serve as a foundation to further develop your understanding of what Guardian has to offer.

Requirements

Be flexible and adaptable in an ever-changing work environment.
Ability to handle pressure in a production and quality focused position.
Open and receptive to giving and receiving feedback.
Ability to interact effectively with all internal and external customers.
Demonstrate mathematical, analytical, organizational, problem solving & relationship building skills.
Dependable with good attendance.
Willing to work overtime when requested.
Strong oral and written communication skills.
Ability to work well independently, persistent drive to meet department/ organization goals.
Shows agility, as well as the ability to quickly learn or adopt new skill sets.
Proficient PC navigation skills including mainframe systems.
Maintains a high sense of priorities & uses solid judgment to make routine decisions.
Genuine and consistent drive to champion the customer.
Must be legally authorized to work in the United States, without the need for employer sponsorship/support now or at any time in the future.

Responsibilities

Process data entered, scanned, electronically submitted dental claims.
Applying state laws to the processing of initial claims and appeals.
Referring claims to consulting dentists to determine necessity of treatment.
Investigating and responding to written appeals, inquiries, and complaints.
Following up on claims that need additional information or are pending in our system.