Customer Service Representative Job at Delta Dental of Rhode Island
Responds to questions from members, groups, and dental offices regarding products and plans. This position requires resolution of problems with claims, complaints and appeals with dentists, and group enrollment. Works with a wide variety of internal resources to resolve issues to ensure customer satisfaction.
Requirements
High school diploma or equivalent, college degree preferred
Previous customer contact experience (i.e. customer call center, dental office experience, or experience within a similar insurance system)
Medical or dental insurance experience, dental office or clinical assistant experience a plus
Excellent communication skills (verbal and written)
Attention to detail and accuracy essential
- Responds to current and prospective customer questions and complaints/appeals in a timely and empathetic manner via telephone or web inquiries
- Research of complaints, appeals, claims, processing issues, benefit and eligibility requests and all communication with external and internal customers
- Collaborate with Operations to review claims and decisions regarding payment
- Answer inquiries from dental offices to clarify coverage levels, identify allowable procedures, and resolve claims payment issues
- Builds a strong rapport with dental office staff, groups and members to ensure a positive perception of the company within the community
Requirements
High school diploma or equivalent, college degree preferred
Previous customer contact experience (i.e. customer call center, dental office experience, or experience within a similar insurance system)
Medical or dental insurance experience, dental office or clinical assistant experience a plus
Excellent communication skills (verbal and written)
Attention to detail and accuracy essential
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