Demo

Group Services Specialist

Delta Dental of Michigan
Okemos, MI Remote Full Time
POSTED ON 11/6/2023 CLOSED ON 1/23/2024

What are the responsibilities and job description for the Group Services Specialist position at Delta Dental of Michigan?

This is a hybrid position, both in-office and remote.

Delta Dental of Michigan, Ohio, and Indiana is a leader in dental benefits, plus so much more.

We improve oral health through benefit plans, advocacy and community support, and our corporate giving builds healthy, smart, vibrant communities for all. We devote our time, talents and financial resources to improve oral and overall health, and we invest in initiatives that support youth, education, workforce and economic development.

We are a force for good-part of the reason why employees find working at Delta Dental fulfilling. Delta Dental companies nationwide comprise the Delta Dental Plans Association, which provides coverage to more than 83 million Americans and operates two of the nation's largest networks of participating dentists. For more, visitwww.deltadentalmi.comandwww.vibrantcommunities.com, and apply online atwww.deltadentalmi.com/careers.

Job Summary:

Implements, coordinates, and documents small to mid-sized client contract and agent data to ensure organizational contractual obligations are met.

Primary Job Responsibilities:

  • Administers new and existing small to mid-sized client information including, but not limited to, new client records, holds, term and terminations, mass transfers and reinstates.
  • Participates in administering licensing information and commissions for agents and agencies that have business relationships with the organization, as needed.
  • Assists in reporting production issues including, but not limited to, billing, claims payment, and client contracts.
  • Updates, extracts, and analyzes claims and sales data to generate client and organizational reports.
  • Provides client administrative support to internal and external departments including inquiries, claims history cross check, on-going mailings, and accounting requests.
  • Monitors and processes claims in the Group Administration and Group Administration Hold worklists.
  • Assembles and distributes GEO mapping reports for the organization for existing and new business and for RFP requests.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Requirements:
Position requires an associate's degree with coursework in business administration or a related field and four years of experience administering or processing customer information, reporting, and responding to customer inquiries. Previous experience in the health insurance industry and exposure to dental benefit contract, summary plan, and certificate language and dental claims processing preferred. Will accept any suitable combination of education, training, or experience.
Position requires knowledge of dental benefit contract administration and spreadsheet, word processing, database, and presentation software; strong verbal and written communication skills; and the ability to solve problems using independent judgment.
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.
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Job openings at Delta Dental of Michigan

Delta Dental of Michigan
Hired Organization Address Remote in Okemos, MI Full Time
This is a remote position. If and/or when they become effective, Delta Dental of Michigan is required to comply with Pre...

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