Claims Specialist

Claims Specialist

Do you enjoy mastering tasks through repetition and take satisfaction in delivering precise, detail-oriented work? As a Claims Specialist I, you'll be instrumental in delivering a positive experience for our members, providers, and groups by ensuring claims are processed promptly and accurately. You'll be dedicated to providing outstanding service while consistently meeting performance goals and quality standards.

At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do – for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity.

We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities.

The pay range for this position in Eastern Washington varies between $40,560.00 - $47,600.00. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza Corp. intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location.

Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza reserve the right to change the responsibilities at any time with or without notice.

• Provide accurate and timely resolution to all claims with a customer centric focus on meeting our turn-around-time goals and standards of service.
• Maintain a strong understanding of product offerings, company policies, and practices, while staying up to date and proficient in relevant guidelines and system functionalities.
• Conduct research on unclear items using available resources, this may include external communication with dental offices, benefit carriers, and/or subscribers as needed to gather additional information.
• Ability to multi-task, maintain workloads efficiently, and prioritize assignments appropriately.
• Project a professional demeanor and exude confidence while communicating clearly both written and verbally while utilizing established core values.

The experience, skills, and education needed to succeed in the position are outlined below. These requirements are representative of the knowledge, skills, and abilities required to successfully perform the essential functions of the role.

• Prior experience in dental and/or medical claims processing is highly valued.
• Highly detail-oriented with strong follow-up skills and a steadfast commitment to customer satisfaction.
• Proven ability to stay organized and consistently meet deadlines in a timely and efficient manner.
• Motivated self-starter with a strong drive for excellence and a continuous passion for learning and growth.
• Exhibit Delta Dental of Washington Core Values.

Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

We are committed to the highest standards of information security and HIPAA compliance, ensuring the confidentiality, integrity, and protection of all data. All staff are expected to support this commitment by following relevant policies.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.