Dental Claims Technician

Job Summary

Detail-oriented and analytical, the full-time Dental Claims Technician will evaluate and adjudicate Dental Group Claims remotely, ensuring compliance with policies and delivering exceptional customer service throughout the claims process.

Key responsibilities

• Make evidence-based claim decisions by thoroughly evaluating claim facts, policy provisions, and customer requirements
• Determine eligibility and financial liability accurately using contract language and supporting documentation
• Build and maintain strong professional relationships with claimants, employers, and internal partners through timely communication

Required qualifications

• Ability to understand and apply complex insurance contracts and benefit calculations
• Strong analytical skills for evaluating medical and vocational information
• Proficiency with Microsoft applications and proprietary claims systems
• Dependable attendance and ability to work remotely with high-speed internet access
• Experience in customer service with strong written and verbal communication skills