Customer Experience Representative

LaSalle Network; Naperville (IL); On-site; USD 29,000 - 32,000; Full time

Benefits offered by this job

Health benefits

Dental & Vision

Job summary

LaSalle Network is seeking a Customer Experience Representative – Dental Benefits in Naperville, IL. The role is a direct-hire position offering $21–$23/hour, with health, dental, and vision benefits. You will be a primary contact for members, providers, brokers, and administrators, addressing inquiries and resolving claims.

The role requires strong communication, attention to detail, and the ability to multitask in a fast-paced environment, with ongoing training and growth opportunities.

Qualifications

• Experience in customer service, healthcare, insurance, or claims processing.
• Strong verbal and written communication skills.
• Ability to handle sensitive customer concerns professionally.
• Detail-oriented with documentation skills.
• Ability to multitask in a fast-paced environment.
• Familiarity with dental terminology and claims processing is preferred.

Responsibilities

• Serve as primary contact for subscribers, providers, brokers, and admins for dental benefits and claims.
• Assist with dental claim inquiries, adjustments, and other benefit questions.
• Review claims and troubleshoot complex cases using guidelines.
• Investigate potential overpayments and assist with adjustments.
• Explain benefit information including deductibles, maximums, COB, and reimbursement.
• Document customer interactions and follow-up activity accurately.
• Navigate multiple systems while researching information for customers.
• Escalate complex issues to appropriate internal resources.
• Maintain confidentiality and follow ePHI privacy rules.
• Participate in training and team initiatives.
• Provide support to newer team members as experience grows.

Skills

Customer service

Healthcare knowledge

Dental terminology

Communication skills

Documentation skills

Multitasking

Call center experience

Attention to detail

Education

High school diploma or equivalent

Job description

Salary: USD21 - USD23 per hour

Customer Experience Representative – Dental Benefits

Employment Type: Direct Hire

Pay: $21–$23/hour

Benefits: Health, Dental & Vision options available

About the Opportunity

We are seeking a Customer Experience Representative to join a growing healthcare organization and provide exceptional service to members, providers, brokers, and group administrators. This is a direct-hire opportunity offering $21–$23/hour along with health, dental, and vision benefit options.

What You'll Do

• Serve as a primary point of contact for subscribers, providers, brokers, and group administrators, answering questions and resolving concerns related to dental benefits and claims
• Assist with dental claim inquiries, adjustments, discrepancies, and other benefit-related questions
• Review claims and troubleshoot more complex cases using established guidelines and business rules
• Investigate potential overpayments and assist with claim adjustments and resolution
• Explain benefit information, including deductibles, maximums, coordination of benefits (COB), reimbursement, and other dental insurance concepts
• Accurately document customer interactions, adjustment requests, investigations, and follow-up activity
• Maintain detailed records and reports to support case management and resolution
• Navigate multiple systems while communicating with customers and researching information
• Escalate or route complex issues to the appropriate internal resources when necessary
• Maintain confidentiality and follow all privacy and security requirements related to electronic Protected Health Information (ePHI)
• Participate in ongoing training, special projects, and team initiatives
• Provide support and guidance to newer team members as experience is gained

What We're Looking For

• Previous experience in customer service, healthcare, insurance, benefits, dental, or claims processing
• Strong verbal and written communication skills
• Ability to provide professional service while handling potentially complex or sensitive customer concerns
• Strong attention to detail, problem-solving, and documentation skills
• Ability to multitask and manage multiple priorities in a fast-paced environment
• Comfortable working in a call center/ACD environment with established talk-time and work-time expectations
• Familiarity with dental terminology, claims processing, insurance reimbursement, deductibles, maximums, and coordination of benefits is highly preferred
• Strong computer skills and ability to learn new systems
• Ability to work independently while contributing to overall team goals
• Reliable attendance and punctuality
• High school diploma or equivalent required

Preferred Qualifications

• Additional healthcare or dental-related education, certification, or training

Why Join?

This is a direct-hire opportunity that offers long-term stability and the chance to grow within the healthcare and dental benefits industry. The position offers $21–$23/hour with health, dental, and vision options available, along with ongoing training and opportunities for professional development.

If you are customer-focused, detail-oriented, and interested in building your career within healthcare benefits and insurance, we would love to hear from you!

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