Title: Claim Processing Representative, DentaQuest

Location:

Milwaukee, Wisconsin

Hartford, Connecticut

Baltimore, Maryland

Portland, ME

Wellesley Hills, Massachusetts

Kansas City, Missouri

Nashville, Tennessee

time type

Full time

job requisition id

JR00107006

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.

Job Description:

Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work.

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.
Serve as backup to Claim Administration team for entry-level adjustments to claims as necessary to meet corporate goals.
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.
Other duties as needed or required.

What you will bring with you:

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

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 to stay connected until the time is right for you!

Life is brighter when you work at Sun Life

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
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
A flexible work environment with a friendly, caring, collaborative and inclusive culture
Great Place to Work Certified in Canada and the U.S.
Named as a "Top 10" employer by the Boston Globe&#39;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.

Salary Range: $37,900 - 51,200

At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive awarded based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

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.

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 thebrightside@sunlife.com to request an accommodation.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

Job Category:

Claims - Health & Dental

Posting End Date:

27/02/2025

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