Claim Processing Representative, DentaQuest

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About the position

Responsibilities

  • Consistently process entry level and intermediate claim queues with a 99% or greater accuracy rate.
  • Adhere to approved claim workflow requirements to maximize efficiency.
  • Serve as backup to Claim Administration team for entry-level adjustments to claims as necessary to meet corporate goals.
  • Serve as back up to call center during peak periods by taking provider and member calls to ensure corporate-wide service levels are consistently achieved.
  • Successfully complete basic claim-related projects, as assigned.
  • Other duties as needed or required.

Requirements

  • Associate degree or two years of experience in a business environment.
  • Strong math competency.
  • Ability to efficiently operate computer.
  • Strong interpersonal, written and verbal communication skills.
  • Attention to detail, accuracy and organization skills are essential.
  • Self-motivation demonstrated by a readiness to learn more and assume new challenges.
  • Cooperative, professional, and effective interaction skills with co-workers, business partners, and visitors.
  • Ability to work in excess of 40 hours in one week.
  • Ability to use Microsoft Office (Word, Excel and Outlook).
  • Understanding of general insurance principles.
  • Able to follow verbal and written instructions.
  • Ability to read and comprehend at a high school level.
  • Required to attend additional training as requested/deemed necessary.

Benefits

  • Generous vacation and sick time.
  • Market-leading paid family, parental and adoption leave.
  • Medical coverage.
  • Company paid life and AD&D insurance.
  • Disability programs.
  • Partially paid sabbatical program.
  • 401(k) employer match.
  • Stock purchase options.
  • Employer-funded retirement account.
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

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6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

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Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

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The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

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