Operations Specialist

Michigan, Inc.; Michigan; Remote; USD 50,000 - 70,000; Full time

Job summary

Delta Dental of Michigan seeks an Operations Specialist to improve quality and efficiency in its insurance processes. The role involves data analysis, compliance checks, and operational improvements, aiming to enhance service delivery in a remote setting. Ideal for entry-level candidates with a strong background in customer service and a relevant degree.

Qualifications

• Requires an associate's degree or equivalent experience.
• Knowledge of dental terminology and claims processing is essential.
• Experience in customer service preferred.

Responsibilities

• Analyze data for compliance with quality and performance standards.
• Develop and maintain productivity reports for quality control.
• Recommend operational improvements and support staff training.

Skills

Verbal communication

Written communication

Organizational skills

Collaboration

Problem-solving

Education

Associate's degree in business administration

Tools

SharePoint

Job description

Join to apply for the Operations Specialist role at Delta Dental of Michigan

Join to apply for the Operations Specialist role at Delta Dental of Michigan

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

Job Summary: Job Title:

Operations Specialist

Number of Positions:

1

Location:

DDMI_Michigan

Location Specifics:

Fully Remote

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description

To assist management in determining compliance with performance and quality control standards. Identifies, analyzes, and recommends process improvements that will result in increased quality and efficiency.

Primary Job Responsibilities:

• Samples, compiles, and analyzes data to determine compliance with quality, production, and performance standards and develops, prepares, maintains, and distributes reports for productivity and quality control.
• Recommends and develops quality control programs and procedures.
• Verifies that department documentation is current and supports quality guidelines. Maintains departmental process and procedure documentation, including the Quality Portal and maintains the departmental intranet sites.
• Identifies, analyzes, and recommends process and/or operational improvements to enhance efficiency, quality, and operational effectiveness.
• Partners with trainer and management on trends identified through the quality monitoring process. Provides feedback to assist management in coaching and developing staff.
• Recognizes and communicates development needs of employees and assists trainers and management with employee training programs as needed.
  
  

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

Minimum Requirements:

Position requires an associate's degree, technical, vocational, or business school with coursework in business administration and two years' work experience in a customer service and/or claims processing environment. Will accept any suitable combination of education, training, or experience.

Position requires knowledge of dental terminology, procedures, insurance products, and claims processing; advanced knowledge of word processing and spreadsheets; ability to identify weaknesses in process changes that may affect quality; resolves complex problems and uses latitude for independent judgment; effective verbal and written communication skills and organizational skills; ability to collaborate effectively; ability to handle multiple projects and deadlines; recommends improvements to increase quality and efficiency; SharePoint experience is preferred.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

• Industries

  Insurance

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