Career Opportunities

Delta Dental of Illinois is currently recruiting for the following position(s):

Client Services Representative

The Client Services Representative is responsible for providing service to the DDIL client base through effective verbal and written communication as well as troubleshooting and resolving all types of dental claim related inquiries.

DUTIES & RESPONSIBILITIES:

  • Manage a large volume of calls
  • Provide Accurate, valid and complete information
  • Meet client service expectations
  • Multi-task, prioritize and manage time effectively

EXPERIENCE & QUALIFICATIONS:

  • Strong customer service skills.
  • Excellent oral and written communications skills. 
  • Strong computer keyboard skills and capable of working in an ACD environment with talk and work time goals. 
  • Knowledge of insurance reimbursement practices, i.e. processing policies, deductibles, maximums, Coordination of Benefits (COB) and dental terminology. 
  • Ability to multi-task.
  • Excellent attendance and punctuality record.
  • High School Diploma or Equivalent.

Business Systems Analyst, Claims Administration

The Business Systems Analyst, Claims Administration is responsible for analysis functions as technical support for building claim processing rules in the claims administration system. This position is also responsible for technical documentation, report writing, and IT-related projects. 

DUTIES & RESPONSIBILITIES:

  • Writes claim adjudication logic for claims administration system.
  • Provides control and oversight of rules and outcomes for the adjudication system.
  • Responsible for developing test scenarios and determining impact on current environment for any adjudication rule changes or system enhancements.
  • Monitors and analyzes the adjudications system’s performance regarding the proper application of rules, guidelines and policies.
  • Provides control and oversight of testing system enhancements, modifications and patches.
  • Assists with the design, writing, maintenance and production of departmental manuals, including but not limited to standards of operation, training and user processing manuals.

EXPERIENCE & QUALIFICATIONS:

  • One or more years of experience in the IT field or as a Business Systems Analyst assigned to support an Operations function or process preferred. 
  • Strong knowledge of policy interpretation, familiarity with dental claims terminology and CDT codes and knowledge of claim processing and claim policies and procedures is preferred.
  • Knowledge of business analytics, SQL, programming languages or queries using such tools as Business Objects, Crystal Reports or Microsoft Access.  
  • Detail oriented, excellent communication skills and able to work in a fast-paced, high-pressure environment. 
  • Associates degree in IT

Enrollment/Data Entry Clerk

The Enrollment/Data Entry Clerk is responsible for the preparation, review, and data entry of enrollment documents.  This position is responsible for providing service to both internal and external stakeholders through effective verbal and written communication as well as troubleshooting and resolving all types of enrollment related inquiries.

DUTIES & RESPONSIBILITIES:

  • Verify all pertinent information is received on enrollment forms and is accurate.
  • Key and research new and existing enrollment.
  • Research and process changes from emails, faxes, and mail.
  • Respond and return calls from other departments, Group Administrators, TPAs and Brokers.
  • Assist Group Administrators and other employer users with the Web Enrollment Application.
  • Work closely with Finance on billing issues and enrollment reconciliations.

EXPERIENCE & QUALIFICATIONS:

  • Strong data entry skills and capable of working in an ACD environment with talk and work time goals
  • Must have excellent oral and written communication skills
  • Must be detail oriented and have the ability to multi-task
  • Knowledge of Microsoft Products (Word/Excel/Outlook) is preferred

 

 

   

Mailing Address:

Delta Dental of Illinois
Attn: Recruiter
111 Shuman Boulevard
Naperville, IL  60563  

Fax: 1.630.718.4869

Email: jobs@deltadentalil.com

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