Dental Claims Specialist (Hybrid)

NRECA; Oklahoma; Hybrid; USD 49,000 - 58,000; Full time

Job summary

NRECA is seeking a Dental Claims Associate in Lincoln, NE to help members navigate dental benefits by analyzing claims and delivering exceptional service. The role requires attention to detail, strong communication, and the ability to work within 8:15 a.m. to 5:00 p.m. with a hybrid schedule allowing up to 2 days per week remote.

The department focuses on employee benefits and member service excellence, offering opportunities to grow within a mission-driven organization.

Qualifications

• Knowledge of medical insurance plans and healthcare benefits.
• Strong interpersonal skills and member service orientation.
• Excellent customer service and communication skills.
• Ability to manage multiple priorities with attention to detail.
• Proficiency with Microsoft Office applications.
• Ability to report to the office when required.

Responsibilities

• Process and adjudicate dental claims according to plan provisions and company guidelines.
• Research, investigate, and resolve claim-related issues and discrepancies.
• Communicate with members and providers regarding coverage, eligibility, and claim determinations.
• Respond to inquiries through phone and written correspondence while providing excellent customer service.
• Ensure accuracy, quality, and productivity standards are consistently met.
• Prioritize and manage multiple tasks in a fast-paced, deadline-driven environment.
• Utilize analytical thinking and attention to detail to make sound benefit determinations.

Skills

Insurance knowledge

Interpersonal skills

Customer service

Multitasking

MS Office

Office presence

Education

High school diploma or GED

Associate degree in business

Job description

NRECA is seeking a Dental Claims Associate in Lincoln, NE to help members navigate dental benefits by analyzing claims and delivering exceptional service. The role requires attention to detail, strong communication, and the ability to work within 8:15 a.m. to 5:00 p.m. with a hybrid schedule allowing up to 2 days per week remote.

The department focuses on employee benefits and member service excellence, offering opportunities to grow within a mission-driven organization.