Western Dental

Claims Processor

Job Locations US-TX-Sugarland
ID
2025-21579
Category
Corporate Support
Position Type
Regular Full-Time
Company Brand
First Continental Life
Min
USD $16.93/Hr.
Max
USD $16.93/Hr.

Overview

To be oriented and trained as a dental claims examiner with the ability to analyze claims, determine if benefits are due and initiate claim payment.  Candidate must be comfortable in a fast paced environment with changing priorities.  Candidate must be able to maintain the highest degree of professionalism and member confidentiality.  Individual must be sensitive to client needs.

Responsibilities

  • Attendance and completion of designated classroom claims professional training programs
  • Performs on-the-job training activities
  • Processing dental claims under close supervision
  • Documenting claims files and properly coding claim activity
  • Communicating claim action/processing with claimant and client
  • Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned
  • Participates in rotational assignments to provide temporary support for office
  • Supports the Total Performance Management initiative

Qualifications

  • High School Diploma, prefer evidence of continuing education
  • Minimum two years data entry experience and Microsoft office Suite
  • Knowledge of commercial HMO, Medicaid, Medicare claim payment process preferred
  • Must have Dental Knowledge (Some Dental Background)
  • Ability to meet deadlines in high volume environment
  • Typing and 10-key ability
  • Ability to demonstrate initiative, dependability, communication skills, and teamwork
  • Working knowledge of the (CDT) Current Dental Terminology
  • Excellent organization skills

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