[Hiring] Dental Claims Approver II @Guardian Life Insurance

Role Description

Are you a highly driven individual looking for a career in the Dental Insurance industry? If yes, read more to find out who we are and the possibilities we can offer you. 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.
• Seeks developmental opportunities to help you grow in your position and career with Guardian.
• Displays honesty and seeks feedback to understand your strengths and areas of improvement.
• Is self-disciplined and able to work independently in a remote work environment.

We understand that no one majors in insurance while they are in college, and that knowledge of insurance should not limit your qualifications for our available positions. In fact, 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.

You have the following functional skills & position qualifications:

• Process data entered, scanned, electronically submitted dental claims.
• 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.

You will:

• A Dental Claims Approver reviews and processes claims that cannot be processed automatically by our mainframe system. An Approver’s responsibilities may include, but are not limited to:
• 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.

This is not a customer service/call center position. No phone work is required.

Our department is open from 6:00 AM EST to 9:00 PM EST, and colleagues work 40 hours a week and need to meet and maintain productivity and quality goals. During training, the scheduled start time will be between 6:00 AM PST and 8:00 AM PST.

At times throughout the year, especially during our peak seasons, we require overtime to meet our service requirements.

Qualifications

• Entry level position in the Dental Insurance industry.
• Educational diversity is valued.

Requirements

• Ability to work independently and in a team environment.
• Strong communication skills.
• Ability to handle pressure and meet productivity goals.

Benefits

• Support and flexibility to achieve professional and personal goals.
• Opportunities for skill-building and leadership development.
• Philanthropic opportunities to build communities.
• Contemporary, supportive, flexible, and inclusive benefits and resources.