Customer Service Representative

Customer Service Representative page is loaded## Customer Service Representative remote type:
This is an in-office position locations:
Albuquerque, NMtime type:
Full time posted on:
Posted Todayjob requisition :
JR101162
*
* Job Title:

** Customer Service Representative
** Number of Positions:
** 1
*
* Location:

** Albuquerque, NM
** Location Specifics:
** In-Office
** Primary

Job Responsibilities:

** To provide polite, accurate and professional customer service related to eligibility, dental benefits, and claim payment; performs claim and benefit research, reconciliation, adjudication, data entry, adjustments, and related reporting. Respond to written inquiries in a timely and professional manner.
** PRIMARY

JOB RESPONSIBILITIES:

*** Role model and live the company values and behaviors.  Know the company vision, mission, and objectives and continually communicate and reinforce these to fellow Team Members.
* Responds to member inquiries via telephone, e-mail, or chat.
* Open, sort, and scan incoming claim and non-claim related mail.
* Completes timely and accurate entry of claims related data including the auditing, coding, and entry of claims.
* Maintains the required performance standards relating specifically to Customer Services and claims accuracy.
* Maintains files and databases as required by department policies and procedures.
* Coordinates inquiries requiring additional information with other departments in a cooperative, efficient, and professional manner.
* Perform other related assigned duties as necessary to complete the Primary

Job Responsibilities as described above.
* ** Foster, encourage, and reward a fun, positive, successful, values-based culture!*
* ** PERFORMANCE REQUIREMENTS:
** The following are required of the CSR position:
* Completes timely and accurate entry of claims related data including the auditing, coding, and entry of claims at or above 95%.
* Quality Scoring for telephone calls at 3.0 or above.
*
* Minimum Requirements:

***
* MINIMUM QUALIFICATIONS:

** The following are expected of the CSR Position:
* High School Diploma
* Good computer skills and working knowledge of Microsoft applications sufficient to independently perform claim related functions and produce customer communications; the ability to provide consistent, efficient, accurate, and quality customer service; excellent time management skills and ability to manage multiple tasks with multiple time deadlines also required; effective oral and written communication skills; ability to lift 30 pounds.
* Bilingual a plus
*
* EXPERIENCE:

** One (1) year experience in public relations or customer service, preferably in the group benefits/insurance field. Will accept any suitable combination of education, training, or experience.
*
* EDUCATION:

** High School diploma or GED.The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Our company is the largest commercial dental insurance company in New Mexico. And, despite being in a highly regulated industry, we are committed to our Core Values to achieve excellence and find fresh and innovative products, solutions, and services to improve access to quality dental services and improve the oral health of all New Mexicans.

We are looking for self-driven and innovative people with a desire to learn and grow.

Every member of our team plays an essential role in fostering a culture of excellence, innovation, ethics, and compliance that underpin Delta Dental of New Mexico’s reputation and trust with customers, stakeholders, and the communities we serve throughout New Mexico.

We have terrific opportunities for passionate and curious thinkers. If this describes you, you may be a good fit for our team!
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