Customer Experience Representative

Customer Experience Representative – Dental Benefits

Employment Type:

Direct Hire Pay: $21–$23/hour Benefits:
Health, Dental & Vision options available

About the Opportunity:
We are seeking a Customer Experience Representative to join a growing healthcare organization and provide exceptional service to members, providers, brokers, and group administrators. This is a direct-hire opportunity offering $21–$23/hour along with health, dental, and vision benefit options. This role is ideal for someone with strong customer service skills who is comfortable working in a fast-paced environment and has experience with healthcare benefits, insurance, claims, or dental terminology.

You will serve as a primary point of contact, helping customers understand and resolve questions related to dental benefits and claims.

What You'll Do:

• Serve as a primary point of contact for subscribers, providers, brokers, and group administrators, answering questions and resolving concerns related to dental benefits and claims
• Assist with dental claim inquiries, adjustments, discrepancies, and other benefit-related questions
• Review claims and troubleshoot more complex cases using established guidelines and business rules
• Investigate potential over payments and assist with claim adjustments and resolution
• Explain benefit information, including deductibles, maximums, coordination of benefits (COB), reimbursement, and other dental insurance concepts
• Accurately document customer interactions, adjustment requests, investigations, and follow-up activity
• Maintain detailed records and reports to support case management and resolution
• Navigate multiple systems while communicating with customers and researching information
• Escalate or route complex issues to the appropriate internal resources when necessary
• Maintain confidentiality and follow all privacy and security requirements related to electronic Protected Health Information (ePHI)
• Participate in ongoing training, special projects, and team initiatives
• Provide support and guidance to newer team members as experience is gained

What We're Looking For:

• Previous experience in customer service, healthcare, insurance, benefits, dental, or claims processing
• Strong verbal and written communication skills
• Ability to provide professional service while handling potentially complex or sensitive customer concerns
• Strong attention to detail, problem-solving, and documentation skills
• Ability to multitask and manage multiple priorities in a fast-paced environment
• Comfortable working in a call center/ACD environment with established talk-time and work-time expectations
• Familiarity with dental terminology, claims processing, insurance reimbursement, deductibles, maximums, and coordination of benefits is highly preferred
• Strong computer skills and ability to learn new systems
• Ability to work independently while contributing to overall team goals
• Reliable attendance and punctuality
• High school diploma or equivalent required

Preferred Qualifications:

• Bilingual Spanish/English
• Previous dental insurance or dental benefits experience
• Experience reviewing dental photos, X-rays, or provider narratives
• Additional healthcare or dental-related education, certification, or training

Why Join? This is a direct-hire opportunity that offers long-term stability and the chance to grow within the healthcare and dental benefits industry. The position offers $21–$23/hour with health, dental, and vision options available, along with ongoing training and opportunities for professional development. If you are customer-focused, detail-oriented, and interested in building your career within healthcare benefits and insurance, we would love to hear from you!

LaSalle Network is an Equal Opportunity Employer m/f/d/v.