DENTAL CLAIMS ADJUSTER

Wilson-McShane Corporation is looking for a Dental Claims Adjuster in our Bloomington, MN office.

The schedule for this position would be Monday-Friday, 8:00am-5:00pm with a 1-hour lunch. This position is non-exempt with a compensation of $27.50 per hour.

Essential Duties and Responsibilities include the following:

• Process dental claims on the Delta Dental system.
• Answer high volume telephone calls from participants and providers with benefit questions.
• Follow all HIPAA compliance guidelines to ensure protection of participant protected health information.
• Other duties and projects may be assigned.

To perform the job successfully, an individual should demonstrate the following competencies:

• Customer Service- Responds promptly to customers needs; Responds to requests for service and assistance; Manages difficult or emotional customer situations.
• Oral Communication- Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions.
• Written Communication- Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information.
• Business Acumen- Understands business implications of decisions; Aligns work with strategic goals.
• Professionalism- Approaches others in a tactful manner; Reacts well under pressure; Accepts responsibilities for own actions; Follows through on commitments; Team Player.
• Judgment- Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Quality- Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality; Takes pride in one's own work.
• Quantity- Meets productivity standards; Completes work in timely manner; Strives to increase productivity; works quickly.
• Dependability- Follows instructions, responds to management direction; Keeps commitments; Takes responsibility for own actions.
• Attendance/Punctuality- Is consistently at work and on time; Ensures work responsibilities are covered when absent.
• Adaptability- Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events; Ability to prioritize duties.
• Planning/Organization- Prioritizes and plans work activities; Uses time efficiently.

To perform the job successfully, an individual should have the following qualifications:

• Minimum of two years dental claims paying experience is preferred.
• Experience with the Delta Dental system is preferred.
• Ability to read and interpret documents such as Summary Plan Description and procedure manuals.
• Computer Skills: Proficiency with Microsoft Office. Quick learner of other computer applications.