Claims and System Support Specialist - Remote

Overview

The Claims and System Support Specialist at Delta Dental plays a crucial role in overseeing claims system configurations and providing operational support to improve the efficiency and accuracy of claims processing.

In Short

• Oversee claims system configurations and adjudication processes.
• Provide operational support and resolve escalated issues.
• Assist in system updates and documentation for Enterprise.
• Collaborate with Information Systems for testing and implementation.
• Audit and maintain rules related to claims processing.
• Process mass adjustment requests and document processes.
• Support business users with claim adjustment queries.
• Update and implement procedure manuals and reference materials.
• Participate in defining business requirements and testing.
• Work in a hybrid position to support dental benefits administration.

Requirements

• Bachelor’s degree in business administration or related field.
• Three years of experience administering dental benefits.
• Experience in planning and executing projects.
• Strong analytical and problem-solving skills.
• Excellent communication and collaboration abilities.
• Ability to maintain system configurations effectively.
• Proficient in documentation and process improvement.
• Commitment to equal employment opportunities.

Benefits

• Comprehensive medical, dental, and vision coverage.
• Short- and long-term disability insurance.
• 401(k) savings plans with company match.
• Tuition reimbursement or educational assistance.
• Annual incentive compensation based on business goals.
• Eight hours of paid volunteer time each year.
• Access to an on-staff health coach and personal trainer.
• Diverse and inclusive workplace culture.