Administrative Dental Insurance Group Operations Specialist
Job Description
Job Description
Join our Award Winning Team at Northeast Delta Dental in Concord, NH!
Our Group Maintenance Team is looking to hire a hybrid, full-time, Group Maintenance Specialist to assist in the processing of group information and claims by entering, maintaining and monitoring group information in the claims processing system; controlling group claims and assuring proper and accurate benefit determination, group billing, and broker information. This position researches and resolves claim suspensions related to group structure issues and adjudicates claims. This position will work on-premises at our Concord, NH headquarters and hybrid, from your home in NH, when deemed appropriate by the manager. Must be authorized to work for any employer in the United States without sponsorship now and in the future.
The Group Maintenance Specialist position earns a competitive salary at $25.00 to $26.00 per hour, depending on experience. We provide fantastic benefits, including health, life, dental, vision, short-term disability (STD), long-term disability (LTD), paid time off (PTO), paid holidays, a 401(k) plan, an independent retirement advisor, an employee assistance program, a tuition reimbursement program, and more! If this sounds like the right business opportunity for you, apply today using our quick, mobile-friendly online application. We hope to meet you soon!
ABOUT NORTHEAST DELTA DENTAL: Northeast Delta Dental - a nonprofit member of Delta Dental Plans Association (DDPA) - is the region's most trusted name in dental insurance for companies, individuals, and families throughout Maine, New Hampshire, and Vermont. We are a values-driven company that successfully balances profitability and community involvement with colleagues working together to create a corporate environment built upon high trust and mutual respect.
SOME OF THE RESPONSIBILITIES FOR THIS ROLE:
Serves as liaison between Marketing and the claims processing system by translating group contracts into the claim processing system for new and renewing groups through the use of a specialized knowledge of the claims processing system and the interdependencies of NEDD departments.
Assures accurate benefit determination, billing, and producer payment by creating and maintaining all group related parameters and system configurations related to NEDD product/plan designs.
Provides alternative and/or customized solutions to the Manager which may require modification of NEDD's existing procedures and policies by analyzing the conflicting requirements and thinking critically beyond the standards and norms as they currently are.
Serves as an internal resource to other departments by providing insight and expertise with regard to all aspects of group structure information.
Aids in the onboarding of new Group Maintenance Specialists by orienting and training the trainee in essential job functions; verifies accuracy of work until trainee exhibits proficiency; provides progress updates to the Manager.
SKILLS, ABILITIES, AND KNOWLEDGE FOR THIS ROLE: Associates Degree in Business, Computer Science, or related field, plus at least two years of progressively responsible work experience or an equivalent combination of training, education, and/or experience. Must have experience gathering and analyzing information from a diverse set of sources and individuals to fully understand a problem and be able to proactively anticipate needs and prioritize action steps. Must be proficient in the use of the Microsoft Office suite.
WORK SCHEDULE FOR THIS ROLE: The work schedule is Monday - Friday, 8:30 a.m. - 4:30 p.m. for this 37.5 hour per week position. This position will work on-premises at our Concord, NH headquarters and hybrid, from your home in NH, when deemed appropriate by the manager. Must be authorized to work for any employer in the United States without sponsorship now and in the future.
Northeast Delta Dental is proud to be an equal opportunity employer.
IF YOU ARE READY TO JOIN OUR TEAM ~ APPLY TODAY!
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