RanchoCordovaRecruiter Since 2001
the smart solution for Rancho Cordova jobs

Appeals Specialist

Company: Delta Dental of California
Location: Rancho Cordova
Posted on: October 18, 2020

Job Description:

Please note, Delta Dental will not sponsor applicants for work visas for this position.

#LI-AK1

AT DELTA DENTAL WE:
PROMOTE ACCOUNTABILITY, INTEGRITY AND COLLABORATION: Our employees are collaborative, self-aware, and ethical. It is our expectation to do the right thing and follow through on commitments.
FOSTER PROFESSIONAL DEVELOPMENT: Our employees take ownership of developing themselves and others through coaching, mentoring and providing/being open to constructive feedback and identifying learning opportunities.
VALUE CUSTOMERS AND CULTIVATE POSITIVE EXPERIENCES: Our employees take time to build rapport with customers, while anticipating and exceeding their needs to ensure positive outcomes.

If you think this sounds like you, let s chat. We would love to tell you more!

Follow us @lifeatDDins on Instagram, lifeatDDins on Facebook, @lifeatDDins on Twitter

ABOUT DELTA DENTAL
Delta Dental covers more Americans than any other dental benefits provider. Our vision is to motivate and empower every employee so we re all inspired to take exceptional care of our customers, providers and each other. Our Enterprise Strategy focuses on pillars of Growth and Diversification, supported by the platforms of Culture and People, Process and Technology. Our employees take pride working for a purpose-driven organization and live our values of Trust, Service, Excellence and Innovation.

We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nation s largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country.

Delta Dental provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, or any other classification protected by federal or state law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Proof of eligibility to work in the United States must be provided if selected for hire.
At Delta Dental, our strategy is only as strong as the people who execute it! We are hiring individuals that are not just right for today but also for our future. We have built a foundation of high-trust by treating all people with dignity, making and keeping commitments, and consistently striving to do the right thing. Our leaders optimistically share future possibilities to inspire and motivate others toward their full potential. We expect our employees to find ways to embrace positive change, be curious and challenge the status quo, and provide solutions to unmet problems. Joining Delta Dental means joining a culture focused on fostering development, building genuine connections, recognizing each other s strengths and sharing in successes.

This position is responsible for researching, processing and resolving priority inquiries and appeals and grievances from members, providers, and regulatory bodies. You will also respond to requests for assistance within specified time frames. This position requires a strong understanding of dental terminology and excellent written and verbal communication skills.

How you will make an impact:

* Researches and responds directly to members, providers, clients, internal departments and regulatory bodies.

* Prepares formal responses with the assistance of the legal department.

* Supports the legal department with small claims court appearances.

* Researches and responds to HIPAA inquiries and complaints.

* Provides materials and sends inquiries regarding NPP.

* Prepares formal responses to subscriber privacy concerns.

* Reports complaint trends to legal counsel and management as determined by analysis of the complaint tracking system.

* Performs miscellaneous duties as assigned.

What we look for:

* Good analytical, problem solving, organizational, time management and multi-tasking skills.

* A minimum of 2 years of appeals experience.

* Strong knowledge of dental terminology.

* Must be able to understand fairly complex written and oral instructions.

* Ability to clearly present written information and findings.

* Ability to communicate information at all levels.

* Ability to interact well with co-workers and outside contacts.

Benefits and perks:

* 12 days starting vacation plus 12 holidays and your birthday off!

* Multiple medical insurance options: 100% paid or low cost premiums

* 100% paid dental insurance

* 100% paid vision insurance

* Onsite gym and/or gym discount and fitness incentive

* Culture of learning: substantial tuition reimbursement to improve your skills

* Career growth: we love promoting from within

* Strong commitment to work/life balance

* Technology allowance

* Social responsibility and volunteer opportunities

Keywords: Delta Dental of California, Rancho Cordova , Appeals Specialist, Other , Rancho Cordova, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


ReactJS Developer
Description: Hi Techie, If you are seeking a new opportunity, I do have one, Please refer to the below position with my direct client. Duties - Designs, develops, and implements software packages for websites. Troubleshoots
Company: Accion Labs
Location: West Sacramento
Posted on: 10/28/2020

Mover / Lead | $21 - $25/hr! (Sacramento) - Part Time
Description: Description Clutter is an on-demand, physical storage and moving, technology company that is disrupting the 50B/year self-storage and moving industries . We are hiring Part-time Lead Drivers / Movers (more...)
Company: Clutter
Location: Woodland
Posted on: 10/28/2020

Parttime Amazon Workforce Staffing
Description: Parttime Amazon Workforce Staffing - Amazon Workforce Staffing Amazon remains open as an essential business to serve our communities delivering critical supplies directly to the doorsteps of people who (more...)
Company: Kinyesi
Location: Woodland
Posted on: 10/28/2020


Supermarket Shopper & Delivery
Description: Shipt is a membership-based marketplace that helps people get the things they need, like fresh produce and household essentials, from stores they trust. Help people save time and have fun while you're (more...)
Company: Shipt
Location: Woodland
Posted on: 10/28/2020

Refrigerated Truck Driver CDL-A Recent Grads - Delivery Food and Supplies!
Description: Job Description Recent CDL-A Grads: Don't have enough experience to get the truck driving job you want No worries, come join
Company: C.R. England
Location: West Sacramento
Posted on: 10/28/2020

MERCHANDISING
Description: Job Description Merchandising Execution Associates: All Merchandising Execution Associates MEAs perform in-store merchandising service activities such as merchandising projects, planogram maintenance, (more...)
Company: The Home Depot
Location: Woodland
Posted on: 10/28/2020

High Demand For Quality Handymen - Get New Clients In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Woodland
Posted on: 10/28/2020

Get New Remodeling Work Today - Preview Leads In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Woodland
Posted on: 10/28/2020

Work in Retail? Earn Extra Cash Delivering Groceries
Description: Shipt is a membership-based marketplace that helps people get the things they need, like fresh produce and household essentials, from stores they trust. Help people save time and have fun while you''re (more...)
Company: Shipt
Location: West Sacramento
Posted on: 10/28/2020

In Home Care Companion
Description: If you're someone who wants to work somewhere that you enjoy spending your time, we have the In Home Caregiving position for you Care In Homes believes that
Company: CareInHomes
Location: West Sacramento
Posted on: 10/28/2020

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Rancho Cordova RSS job feeds