Claims & Customer Solutions Representative

DMBA (Deseret Mutual Benefit Administrators) is a non-profit organization that administers benefits for companies owned or affiliated with The Church of Jesus Christ of Latter-day Saints. The Missionary Medical department is hiring a two-year Claims & Customer Solutions Representative. Join a mission-driven team that ensures missionaries and their families receive timely, accurate healthcare support. You'll combine compassionate service with precise claims work to protect participants from administrative burdens and keep care moving.

You'll make thoughtful decisions on complex issues, with leadership guidance available when needed. Accuracy and efficiency are critical to meeting expectations for participants and internal stakeholders.

• Process medical and dental claims accurately, including appeals and coordination of benefits.
• Resolve billing notices and coordinate care with the Missionary Medical Nurse team.
• Prevent collections activity for missionaries proactively.
• Provide timely, professional support via phone, email, and in person.
• Meet service-level standards for call response and resolution.
• Document thoroughly and communicate clearly with stakeholders.
• Manage plan payments, recoveries, receipts, and posting adjustments.
• Partner with Accounting to identify over payments and execute recoveries.
• Contribute to special projects and cross-functional initiatives.

Hybrid work environment based in Salt Lake Valley with remote flexibility. Team members split time between on-site and home office to support work/life balance and operational needs. Occasional in-person meetings or training may be required.

• High School Diploma or equivalent
• Advanced knowledge of claims processing and health plan design
• Strong judgment, problem-solving, and communication skills

• Familiarity with IT systems and project management
• Broader healthcare operations knowledge (membership, medical management, provider contracting)
• Professional verbal and written skills
• Alignment with DMBA's mission to support missionaries

• Competitive pay
• Rich medical, vision, and dental benefits with low premiums - one of the top health plans in Utah
• Robust retirement planning: 401(k) company match, 8% Employer Discretionary Retirement Contribution (free money for retirement), life insurance, and onsite financial planners at no cost
• Generous paid leave plan starting day one, your birthday off, additional sick leave, and 12 paid holidays
• Award-winning wellness program with health coaching, ability to earn 3 extra days off annually, fun activities, and an onsite gym
• Tuition reimbursement
• Career development through company-sponsored programs and over 5,000 on-demand online training courses
• Hybrid work schedules available depending on position
• Employee Assistance Program