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- Tasks: Process dental claims and assist members with inquiries in a fast-paced environment.
- Company: Innovative Kelowna-based tech company improving health benefits experiences.
- Benefits: Employer-paid group benefits, paid vacation, and work-life balance.
- Why this job: Join a dynamic team and make a real impact on health benefits.
- Qualifications: Minimum 3 years in dental adjudication and strong customer service skills.
- Other info: Opportunity for growth in a supportive and flexible work environment.
The predicted salary is between 36000 - 60000 £ per year.
We’re a Kelowna based Third Party Administrator/Payor (TPA/TPP) improving the health benefits experience for employers, insurers and, well, everybody! Our team leverages digital-focused strategies to provide members with fast, easy and thoughtful benefits experiences. To put it simply, we provide group benefits plans, but we’re a technology company first. Our team embraces autonomy, complexity and a connection between effort and reward as three qualities that foster a truly satisfying career and strive to separate ourselves from the corporate herd.
What we’re looking for
We’re looking for a dynamic Dental Adjudicator with a minimum of 1 year experience in dental claims adjudication to work as part of our Customer Support team!
What you’ll do
- Process dental claims and predeterminations accurately in a timely manner within established service standards
- Answer phone calls and assist members and providers with claim/coverage inquiries
- Identify and resolve claim situations in a timely manner
- Contribute to the continuous improvement of business processes
- Additional basic tasks within dental as required
- Assist colleagues and members with claim inquiries
What you need
- Previous experience of 3 years in dental adjudication and in a Customer Service role
- Ability to handle high stress situations in a fast-paced production environment
- Outstanding client service, interpersonal and communication skills to build positive relationships with our clients
- Capable of interpreting and applying claim guidelines while working through ambiguous situations
- Must be comfortable working in an environment with quickly changing priorities
- Able to work independently with little supervision
- Strong organization, multi-tasking, prioritization, and problem-solving skills
- Dedicated team player with the ability to take the initiative, be independent with a positive attitude and dedication to quality and accuracy
- Highly organized, accurate and detail oriented
- Well-developed ability to perform mathematical calculations and to see beyond the numbers
What we can offer
- Employer Paid Group Benefits Plan including:
- Long Term Disability (employee paid)
- Critical Illness
- $1000 Flex Spending account
Schedule: 8-hour shift - Shift schedule could be anywhere from 8 am to 12pm starting time depending on the business need at time of hire.
Dental Adjudicator in Ayr employer: Simply Benefits Inc.
Contact Detail:
Simply Benefits Inc. Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Dental Adjudicator in Ayr
✨Tip Number 1
Network like a pro! Reach out to your connections in the dental industry and let them know you're on the hunt for a Dental Adjudicator role. You never know who might have the inside scoop on job openings or can put in a good word for you.
✨Tip Number 2
Prepare for those interviews by brushing up on your knowledge of dental claims adjudication. Be ready to discuss your experience and how you've handled high-stress situations. We want to see that you can keep your cool while delivering outstanding client service!
✨Tip Number 3
Show off your problem-solving skills during interviews! Think of examples where you've successfully resolved claim situations or improved processes. This will demonstrate your ability to thrive in our fast-paced environment.
✨Tip Number 4
Don't forget to apply through our website! It’s the best way to ensure your application gets noticed. Plus, it shows us you're genuinely interested in joining our team and contributing to our mission of improving health benefits experiences.
We think you need these skills to ace Dental Adjudicator in Ayr
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights your experience in dental claims adjudication. We want to see how your skills match what we're looking for, so don’t be shy about showcasing your relevant achievements!
Craft a Compelling Cover Letter: Your cover letter is your chance to shine! Use it to explain why you’re the perfect fit for our team and how your past experiences have prepared you for this role. Keep it engaging and personal – we love a bit of personality!
Showcase Your Customer Service Skills: Since you'll be part of our Customer Support team, make sure to highlight your outstanding client service and communication skills. Share examples of how you've built positive relationships with clients in previous roles.
Apply Through Our Website: We encourage you to apply directly through our website. It’s the best way for us to receive your application and ensures you’re considered for the role. Plus, it’s super easy – just follow the prompts!
How to prepare for a job interview at Simply Benefits Inc.
✨Know Your Stuff
Make sure you brush up on your dental claims adjudication knowledge. Familiarise yourself with common claim guidelines and processes, as well as any recent changes in the industry. This will help you answer questions confidently and show that you're serious about the role.
✨Showcase Your Customer Service Skills
Since this role is part of the Customer Support team, be ready to share examples of how you've handled client inquiries or resolved issues in the past. Highlight your communication skills and ability to build positive relationships, as these are key to succeeding in this position.
✨Prepare for Stressful Scenarios
Expect questions about how you handle high-pressure situations. Think of specific instances where you managed stress effectively, especially in a fast-paced environment. This will demonstrate your ability to thrive under pressure, which is crucial for this role.
✨Emphasise Your Organisational Skills
Being detail-oriented and organised is essential for a Dental Adjudicator. Prepare to discuss how you prioritise tasks and manage multiple responsibilities. You might even want to bring examples of how you've improved processes in previous roles to showcase your initiative.
