Claim Processing Representative, Dentaquest (Remote)

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.
DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.
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Location: We support US virtual working arrangements in the contiguous 48 states.
At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.
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.
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.
• Other duties as needed or required.
• 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.
• Serve as backup to Claim Administration team for entry-level adjustments to claims as necessary to meet corporate goals.

What you will bring with you:

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

Do you see yourself in this role even if you haven’t checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.
Not ready to apply yet but want to stay in touch? Join our talent community (https://pages.beamery.com/sunlifecareers/page/join-us-canada) to stay connected until the time is right for you!
Life is brighter when you work at Sun Life

• Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account
• Great Place to Work® Certified in Canada and the U.S.
• A flexible work environment with a friendly, caring, collaborative and inclusive culture
• Excellent benefits and wellness programs to support the three pillars of your well-being – mental, physical and financial – including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more
• Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
If you are a California resident, the salary range for this position is:

• Southern region: $43,900 - 59,300 annually
• Central region: $41,700 - 56,300 annually
• Northern region: $47,000 - 63,500 annually

If you are a Colorado resident, the salary range for this position is $39,700 - 53,600 annually.
If you are a New York resident, the salary range for this position is $47,000 - 63,500 annually.
If you are Washington resident, the salary range for this position is $41,700 - 56,300 annually.
We consider various factors in determining actual pay including your skills, qualifications, and experience. In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.
Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email [email protected] to request an accommodation.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
Job Category:
Claims - Health & Dental
Posting End Date:
24/12/2032
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran