Claims Auditor

  • Delta Dental of Michigan
  • Okemos, Meridian charter Township, MI, USA
  • Oct 14, 2021
Full time Admin-Clerical

Job Description

Delta Dental of Michigan, Ohio, and Indiana is a leader in dental benefits, plus so much more.

We improve oral health through benefit plans, advocacy and community support, and our corporate giving builds healthy, smart, vibrant and inclusive communities. We devote our time, talents and financial resources to improve oral and overall health, and we invest in initiatives that support youth, education, workforce and economic development.

We are a force for good--part of the reason why employees find working at Delta Dental fulfilling.

Delta Dental companies nationwide comprise the Delta Dental Plans Association, which provides coverage to more than 80 million Americans and operates two of the nation's largest networks of participating dentists.

For more, visit www.deltadentalmi.com and www.buildingbrighterfutures.com, and apply online at www.deltadentalmi.com/careers.

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, modifies and corrects 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

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)

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.