Dental Claims Associate

About NRECA

NRECA is the national trade association representing more than 900 consumer-owned electric cooperatives across the United States. We provide advocacy, financial services, and business solutions that help over 900 consumer-owned electric cooperatives across the country serve their communities and we operate with integrity, transparency, and a spirit of innovation.

The work in the Insurance & Financial Services department (I&FS) is dynamic and intellectually challenging, engaging, and deeply impactful. They work to develop and administer employee benefit plans and services which are diverse and the results help improve the quality of life for hard working Americans across the country. They foster a culture that emphasizes a strong sense of diversity, integrity, and belonging, driven by NRECA’s core values like communication, creative problem-solving, collaboration and accountability.

About the role

As a Dental Claims Associate, you'll help members navigate their dental benefits by analyzing claims, making benefit decisions, serving as a trusted resource for members and providers and delivering exceptional member service while meeting productivity and quality standards.

Responsibilities

• Process and adjudicate dental claims according to plan provisions and company guidelines.
• Research, investigate, and resolve claim-related issues and discrepancies.
• Communicate with members and providers regarding coverage, eligibility, and claim determinations.
• Respond to inquiries through phone and written correspondence while providing excellent customer service.
• Ensure accuracy, quality, and productivity standards are consistently met.
• Prioritize and manage multiple tasks in a fast-paced, deadline-driven environment.
• Utilize analytical thinking and attention to detail to make sound benefit determinations.

Qualifications

Education, Experience, and Certifications

• Required Education: High school diploma or GED
• Preferred Education: Associate degree in a business-related field
• Required Experience: Up to 12 months experience in claims processing working with health/dental insurance plans or in a healthcare/dental billing office
• Preferred Experience: Dental office experience with exposure to dental billing and/or handling the billing of dental claims, and/or verifying dental benefits with the insurance company

Knowledge, Skills and Abilities

• Knowledge of medical insurance plans and healthcare benefits.
• Strong interpersonal skills and member service orientation.
• Excellent customer service and communication skills.
• Ability to manage multiple priorities with attention to detail.
• Proficiency with Microsoft Office applications.
• Ability to report to the office when required.

Essential Physical Requirements

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.

• Primarily sedentary work with extended periods of sitting.
• Visual acuity is sufficient for computer work and data analysis.
• Manual dexterity for frequent keyboard use.
• Occasional light lifting (up to 10 lbs).
• Effective communication in person, by phone, and via email.

Pay

Salary Range: $49,000 - $58,000. Final Compensation determined by individual qualifications, experience, and internal equity.

Schedule

Work schedule is 8:15 a.m. to 5:00 p.m. The position is eligible for NRECA’s hybrid schedule which allows flexibility to work from home up to 2 days per week.