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Title

Claims Specialist 

Description

Dominion National, a leading provider of dental and vision benefits in the Mid-Atlantic area, has an exciting opportunity for a Claims Specialist.

Summary:

The Claims Specialist should be a highly motivated team player with good communication (written and oral) and organizational skills, the ability to multi-task in a high-paced environment and excellent interpersonal skills with talent to converse with people at all levels. The candidate will also be detailed oriented, with data entry skills.

This individual will accurately process claims in accordance with the claims processing system and other department guidelines; investigate and resolve claim concerns, reversing and reprocessing claims as necessary; determine liability as it relates to COB claims; and review provider and/or member status to determine eligibility, participation, primacy, and correct reimbursement level, which may include re-pricing. Other duties as assigned.

 
Position Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Claims Specialist will, at a minimum, possess the following credentials:

  • High school diploma or equivalent (required)
  • Associates/Bachelor’s degree (preferred)
  • 2 – 4 years claims experience, to include claims processing
  • Ability to handle multiple tasks simultaneously, meet time sensitive deadlines and organize workload with general supervision
  • Knowledge of Dental Terminology (preferred)
  • Intermediate computer skills necessary
  • Advanced experience with Microsoft Office Suite, including Outlook
  • Intermediate Microsoft Excel skills
  • Strong problem, analytical, project management, well-developed communications skills and organizational ability
  • Demonstrated the ability to perform tasks with limited to no supervision with a keen sense of urgency
  • Ability to meet deadlines

For the ideal candidate, we offer a competitive salary and excellent benefits including medical, dental, disability, 401(k) company match, paid parking or metro stipend, paid holidays, and paid time off.

Dominion National is an equal opportunity employer. Applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran’s status, age or any other characteristic protected by law.

 
About the Organization With our service area expansion from the Mid-Atlantic region to a national program and our membership increase to over 900,000 members, we've grown to over 200 employees and are looking for talented individuals to join our mission to be the easiest benefits company to work with on your path to wellness. At Dominion, you will enjoy our state-of-the-art headquarters, robust learning and development opportunities, vibrant location and diverse, fun work environment.

We offer a competitive salary and excellent benefits to include medical, dental, 401(k) company match, commuter benefits, paid time off and paid holidays. We are conveniently based in the heart of Crystal City (Arlington, VA) with the Crystal City Metro stop and Crystal City Shops directly under the building for easy access to transportation, restaurants, banks, drug stores, salons, doctors' offices, the post office and much more!

 
EOE Statement Dominion National USA, Inc. is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Open Date 2/28/2019  
Location Dominion Dental USA  
Work Location  

This position is currently not accepting applications.

To search for an open position, please go to http://DominionDentalUSAInc.appone.com



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