DELTA DENTAL: Customer Service Representative II

How you will make an impact:

• Responds to complex telephone, electronic, and written inquiries from dental and vision professionals, groups, subscribers and brokers.
• Communicates eligibility, benefits, claims status, policies, and procedures.
• Documents each customer encounter or resolution in appropriate computer tracking system.
• Expediently accesses reference materials to analyze and determine appropriate responses to telephone, electronic, and written inquires.
• Identifies and reports system discrepancies to leader.
• Accurately completes contact service forms and routes to appropriate department.
• Utilizes contact tracking functionality to follow up on open calls to ensure resolution is achieved within agreed upon standards.
• Meets and maintains metric standards.
• Participates in training programs, as designated.
• Must be able to work overtime as required.
• Performs miscellaneous duties as assigned, including providing support to other departments, as necessary.