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$39,300–$53,100

Claim Processing Representative, DentaQuest

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Full-time Remote 42d ago

Location:

US

Company:

Sun Life U.S. is a leading provider of employee and government benefits, helping around 50 million Americans access necessary care and coverage.

Summary:

As a Claim Processing Representative, you will accurately process entry-level and intermediate claims. Candidates should have an associate degree or equivalent experience, strong math skills, and proficiency in Microsoft Office.

Requirements:

Hard Skills: Strong math competency, Attention to detail, Ability to efficiently operate computer, Ability to use Microsoft Office (Word, Excel, Outlook), Understanding of general insurance principles

Credentials: Associate degree or two years of experience in a business environment.

Job Description:

Job Description:

Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK.

The opportunity: 

The Claim Processing Representative processes entry-level and intermediate claims with a 99% or greater accuracy rate using the company’s proprietary claim processing software. This role focused on commercial business.

How you will contribute: 

  • Consistently process entry level and intermediate claim queues with a 99% or greater accuracy rate.
  • Adhere to approved claim workflow requirements to maximize efficiency.
  • Serve as backup to Claim Administration team for entry-level adjustments to claims as necessary to meet corporate goals.
  • Serve as back up to call center during peak periods by taking provider and member calls to ensure corporate-wide service levels are consistently achieved.
  • Successfully complete basic claim-related projects, as assigned.
  • Other duties as needed or required.

What you will bring with you: 

  • Associate degree or two years of experience in a business environment.
  • Strong math competency.
  • Ability to efficiently operate computer.
  • Strong interpersonal, written and verbal communication skills.
  • Attention to detail, accuracy and organization skills are essential.
  • Self-motivation demonstrated by a readiness to learn more and assume new challenges.
  • Cooperative, professional, and effective interaction skills with co-workers, business partners, and visitors.
  • Ability to work in excess of 40 hours in one week.
  • Ability to use Microsoft Office. (Word, Excel and Outlook)
  • Understanding of general insurance principles.
  • Able to follow verbal and written instructions.
  • Ability to read and comprehend at a high school level.
  • Required to attend additional training as requested/deemed necessary.