Benefit Advisor

Delta Dental; Sherwood (AR); On-site; USD 19,000 - 30,000; Full time

Job summary

Delta-Denta is seeking a friendly customer service specialist to handle inquiries about dental benefits by phone, email, or fax. You will resolve issues, quote benefits accurately, and document interactions in our system.

The role requires basic Microsoft Office skills, calm under pressure, and the ability to learn dental terminology and procedure codes to assist members with eligibility and locating a dentist.

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.

Responsibilities

• 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.
• Stays abreast of benefit changes, new enrollments and group terminations per the supervisor.
• Knows and researches the available sources of information to resolve problems and answer questions.
• Comments each telephone and written inquiry in the internal system.
• Reviews claim history to verify member eligibility for requested services and ensure alignment with policy guidelines.
• Takes ownership and resolves customer complaints. Follow up on customer calls when needed.
• Issue id cards upon request.
• An understanding of procedure codes and dental terminology is required as well as providing customers with product and service information.
• Assist with locating a dentist.
• Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

Skills

Customer service

Calm under pressure

Research skills

Learning dental terminology

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.