Michigan, Ohio, and Indiana, Georiga, California Pennsylvania
Delta Dental covers more Americans than any other dental benefits provider. As an employee, you’ll take part in our mission to become the trusted health partner by collaborating with our communities and employees to reimagine and deliver new possibilities in an ever-changing environment. Our Enterprise Strategy focuses on pillars of Growth and Diversification, supported by the platforms of Culture and People, Process, and Technology.
TYPICAL ASSIGNMENTS
In a developing and learning capacity, the Trainee will perform the following typical assignments:
• Researches inquiries by accessing the claims processing system and other informational sources
• Responds to customer/group and provider questions through telephone contact and/or written communication (such as mail) using proper, etiquette, grammar, punctuation, etc.
• Maintains related departmental records and files
• Operates office equipment which may include a personal computer, calculator, copier, fax machine, etc.
• Makes corrections to claims and eligibility
• Enters new claims, eligibility and subscriber information into the mainframe
• Reviews subscriber’s coverage to determine type and level of benefits
Bidding Requirements: • Possess a high school diploma or equivalent
• One year of customer service experience in a business environment that requires the use of a computer program to assist the customer, preferably in a call center, and/or dental experience
• Successful completion of the customer service simulation test (minimum score of 62 out of a possible 100) (assessment waived if candidate previously passed the test while at Delta Dental or if previously held Customer Service Trainee, Customer Service Advisor or Customer Service Associate position)
• Employees bidding the first shift must have the ability to begin work 8:25 a.m. or work until 6:30 p.m., Monday through Friday
• Employees bidding the second shift must have the ability to begin work at 11:00 a.m. or work until 12:00 Midnight, Monday through Friday.
What we look for:
A DDS or DMD degree from an accredited dental school.
The active and unencumbered license in good standing with the Dental Licensing Board of California.
A minimum of 5 years of private dentistry practice experience.
Strong organizational/time management skills and multi-tasking abilities.
Detail-oriented with analytic and problem-solving abilities.
Customer service, conflict management and dispute resolution skills.
Knowledge of health care industry issues preferred.
Knowledge of Delta Dental products, policies, claims, eligibility and underwriting guidelines.
A Bachelor’s degree or equivalent education, training or experience is required.
Requirements
The position requires an associate’s degree and two years of experience responding to customer inquiries in a call center environment. Experience in workforce planning is preferred. Will accept any suitable combination of education, training, or experience. Position requires advanced knowledge of spreadsheet, word processing, database, and visual presentation applications; strong verbal and written communication skills; strong interpersonal skills; strong analytical and problem-solving skills; the ability to work independently and as part of a team; and the ability to identify and solve problems using independent judgment.
Job Summary: To lead the analysis and administration of the daily operational needs of the Customer Service contact center in order to ensure that departmental goals and objectives are met.
Primary Job Responsibilities
1. Analyzes intraday departmental workloads, including incoming calls and document queues, in order to ensure appropriate coverage levels.
2. Monitors real-time adherence to schedule and department efficiency.
3. Recommends necessary changes to department management based on real time workload analysis.
4. Approves exception activities and updates schedules to reflect necessary changes.
5. Assists in the review of staffing levels, capacity, and forecasting.
6. Assists in short and long-term department workforce planning.
7. Analyzes and reports on department statistics and other data on a daily and monthly basis (i.e., service levels, answer rate, ASA, etc.) and creates plans for addressing metrics that are not within expected standards.
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
Requirements
Bidding Requirements:
Possess a high school diploma or equivalent
Successful completion of a data entry test sponsored by Human Resources within the past 12 months / 7,000 keystrokes per hour with 95% accuracy (test waived if candidate currently holds or has previously held a CRT Operator position)
Successful completion of a typing test administered by Human Resources within the past 12 months with a typing speed of 40 correct words per minute (minimum of 90% accuracy) (test waived if candidate currently holds a position that requires at least 40 correct words per minute.)
One-year work experience in an office environment (external candidates only)
TYPICAL ASSIGNMENTS
Makes benefit determinations using Delta Dental's policies and procedures
Reviews subscriber's group coverage to determine type and level of benefits
Uses system and other sources to obtain information needed for claim determinations
Determines payment amounts when appropriate
Reviews modify and correct claims in the system as needed, including disallows
Sends information requests as they relate to claims and/or disallows, using proper grammar and punctuation
Calculates basic mathematical functions
Operates office equipment which may include a personal computer, calculator, copier, fax machine, etc.
Maintains related departmental records and files
Requirements
The position requires an associate’s degree in accounting, business administration, finance, mathematics, or a related field and two years of experience analyzing data and using mathematical and algebraic theories and formulas. A bachelor’s degree in mathematics or a related field is preferred. Will accept any suitable combination of education, training, or experience. Position requires knowledge of mathematical and algebraic theories and formulas and word processing and spreadsheet applications; strong analytical skills; strong organizational skills; strong verbal and written communication skills; and the ability to work independently and as part of a team. Occasional travel is required.
Job Summary: Performs underwriting functions to support Enterprise goals and objectives including new business and an assigned book of business on the least complex cases. Primary Job Responsibilities 1. Develops an understanding of dental terminology, dental benefits, risk assessment, underwriting guidelines, contract language, and the underwriting process and procedures. 2. Evaluate risk and develops, review and approve rates consistent with approved rating formulas and methodologies. 3. Develops and approves renewal rates and contracts for assigned books of business. 4. Determines and defines eligibility and approves new business rates, proposals and contracts.
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
Description
This is a hybrid position, both in-office and remote.
Requirements
Currently enrolled second, third or fourth-year student pursuing a degree in public health, communications, journalism, marketing or a related field. Graphic design experience a plus.
The position requires proficiency in Microsoft Word, Excel, and PowerPoint. The candidate must be highly motivated, able to problem solve and work independently. Delta Dental offers a paid internship, flexible schedule, and a casual dress code. This position reports to the manager of the Delta Dental Foundation and will work closely with the DDF program officer and communications team.
We are looking for an intern at the Delta Dental Foundation, the philanthropic arm of Delta Dental of Michigan, Ohio, Indiana, and North Carolina, who has excellent organizational, communication, and writing skills. Tasks may include:
Preparing grant application templates for staff and board book
Processing quarterly in-kind requests, mini-grants and sponsorship requests
Assisting with the development of promotional materials and social media content
Developing relationships with internal departments and external entities, including community organizations and nonprofits
Learning to utilize grant management software programs with training and guidance
Updating and maintaining websites
Supporting philanthropy-related functions
Requesting payment vouchers
Maintaining department records
Performing other related assigned duties as necessary
Requirements
Bidding Requirements: * Possess a high school diploma or equivalent * Two years of work experience in an office environment. * Ability to begin work at 7:30 a.m. or be required to work until 5:00 p.m. (rotating basis)
TYPICAL ASSIGNMENTS * Responds to written and telephone inquiries, using proper etiquette, from providers regarding their Delta records (dental and vision), processed claims and 1099 questions * Responds to all questions related to a provider's record including specialty agreements and W-9 information * Establishes electronic funds transfers (EFT) records when appropriate * Establishes and maintains group practice records * Researches inquiries by accessing the provider, National Provider File (NPF) and claims processing system and other resources * Establishes and maintains all provider records * Processes claims in the Provider Records electronic systems * Operates office equipment which may include personal computer, photocopier, scanner, calculator, fax, etc.
This description is intended to indicate the general responsibilities and level of work difficulty that will be required of positions given this title, and should not be construed as declaring what the specific duties and responsibilities of any particular position should be.
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