Benefit Advisor

Delta Dental of Arkansas; Sherwood (AR); On-site; USD 26,000 - 38,000; Full time

Job summary

Delta Dental of Arkansas is seeking a customer service professional to respond to inquiries by phone, email, or fax, quoting benefits accurately and resolving issues. The role requires staying current on benefit changes and researching information to answer questions, with careful documentation in the internal system.

Responsibilities include reviewing claim history for eligibility, resolving complaints, issuing ID cards, and assisting customers in locating a dentist.

Qualifications

• High school diploma or GED required.
• Entry level Microsoft Office experience.
• Ability to stay calm when customers are stressed or upset.
• Will accept any suitable combination of education, training, or experience.

Responsibilities

• Answer an average of 60 calls per day and quote benefits accurately to the customer.
• Stay abreast of benefit changes, new enrollments and group terminations per the supervisor.
• Research available information sources to resolve problems and answer questions.
• Document each inquiry in the internal system.
• Review claim history to verify member eligibility for requested services and ensure alignment with policy guidelines.
• Take ownership and resolve customer complaints; follow up on calls when needed.
• Issue ID cards upon request.
• Understand procedure codes and dental terminology to provide information.
• Assist with locating a dentist.
• Perform other related duties as necessary to complete Primary Job Responsibilities.

Skills

Calm under pressure

Customer service

Communication

Researching information

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Job Summary

Answers inquiries by clarifying desired information; researching, locating, and providing information. Resolves problems by clarifying issues; researching and exploring answers.

Primary Job Responsibilities

1. Professionally answers an average of 60 calls per day. Quoting benefits accurately to the customer and responding to the customer inquiries via phone, email or fax.
2. Stays abreast of benefit changes, new enrollments and group terminations per the supervisor.
3. Knows and researches the available sources of information to resolve problems and answer questions.
4. Comments each telephone and written inquiry in the internal system.
5. Reviews claim history to verify member eligibility for requested services and ensure alignment with policy guidelines.
6. Takes ownership and resolves customer complaints. Follow up on customer calls when needed.
7. Issue id cards upon request.
8. An understanding of procedure codes and dental terminology is required as well as providing customers with product and service information.
9. Assist with locating a dentist.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

Minimum Qualifications

• High school diploma or GED.
• Entry level Microsoft applications experience.
• Ability to stay calm when customers are stressed or upset.
• Will accept any suitable combination of education, training, or experience.

Ability to learn procedure codes and dental terminology is required in order to provide customers with product and service information.