Customer Service Specialist Jobs

Culture rules at Delta Dental. It's key to our becoming the leading dental benefits carrier in the state, reaching over 500,000 Idahoans with our dental plans and community outreach programs. We're small on ego and big on grins. You'll see us involved in community events and "Did you make someone smile today?" on our To-Do lists. Our employees have the opportunity to make a difference in people's lives while working in an environment full of challenge, collaboration, flexibility, and industry-leading growth potential. Join our team committed to better oral health for all Idahoans.
The Customer Service Specialist is responsible for customer service interactions with providers, subscribers, other carriers, and internal customers regarding benefit clarifications, claim status and resolution, and general product and service questions.
Essential Functions

• Recommend and actively participate in implementing improvements in workflow and processing.
• Demonstrate a commitment to the organization’s vision, mission, values, code of ethics, and compliance/security standards.
• Conduct advanced investigations on contestable or irregular claims and practice patterns.
• Process claims and adjustments in an accurate and timely manner.
• Respond to customer inquiries via phone or written correspondence, accessing reference materials as needed to analyze and determine appropriate response.
• May perform backup functions in the following areas: Plan set up; Provider Database Maintenance; processing Orthodontia claims, and others as needed.
• Other duties as assigned.

Requirements
KNOWLEDGE, SKILLS, AND ABILITIES

• Ability to function with high levels of call volume and workload.
• Knowledge of dental terminology
• Excellent oral and written communication skills and the ability to interact with internal and external stakeholders in an effective and positive manner.
• Competency in Microsoft Office – Word, Excel, and Outlook
• High school diploma or equivalent.
• Attention to detail.
• A minimum of 2 years' experience as a Dental Assistant; Dental Hygienist; or front Dental Office staff or 2 years’ experience at Delta Dental of Idaho.
• A minimum of 1 year of experience in customer service.
• Strong skills, abilities, and commitment to teamwork, customer service, and dependability.
• Ability to understand individual group benefits and master contract provisions.

Physical And Mental Requirements

• Sitting/Standing (alternatively) continuously
• Skill/ability related to comprehension, organization, reasoning/decision-making and communication appropriate to position/level
• Keyboard Use/Repetitive Hand motion continuously

OUR CULTURE
DDID seeks to provide a positive workplace where employees are treated with respect and all are accountable for living our values and Code of Ethics while empowered to help the organization succeed in achieving its mission and vision.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Individuals that may need assistance with the applicant or interview process may contact human resources at [email protected] or by phone: 208-488-7741.
Benefits
Delta Dental of Idaho offers a competitive benefits plan for eligible staff, including:

• 401K with up to 6% company contribution
• Medical, dental, and vision
• Tuition and continuing education reimbursement
• ...and more!
• Generous PTO and up to 9 paid holidays
• Community Service time to volunteer in your community
• Flexible, hybrid schedule
• Casual dress code