Commercial Dental Associate

Position: Commercial Dental Associate, DentaQuest

Job Description

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services.

Opportunity

The Commercial Dental Representative will handle customer service inquiries via phone and some dental claims processing. The ideal candidate will have excellent communication skills, a strong understanding of dental insurance, and the ability to manage both customer interactions and administrative tasks efficiently.

How you will contribute Call Center Duties

• Serve as the primary point of contact for members, dental offices, and providers via phone, email, or online inquiries.
• Answer questions related to dental benefits, claims status, and general dental plan inquiries.
• Resolve issues or concerns regarding claims, billing, coverage, and other customer service‑related matters.
• Document all customer interactions accurately in the system.
• Provide clear explanations of policies, procedures, and benefits to callers.
• Maintain a high level of professionalism, empathy, and customer service during all interactions.
• Verify dental benefits and eligibility for members and providers.
• Communicate claim status and outcomes to providers and members, including detailed explanations for claim outcomes.

Claim Processing Duties

• Process selected dental claims in accordance with company policies and procedures.
• Perform claim adjustments on a defined set of claim types.
• Ensure claims are accurate, complete, and comply with relevant guidelines and regulations.
• Resolve any discrepancies or issues related to claim denials or rejections, modifying or adjusting claim types as necessary.
• Maintain confidentiality and adhere to HIPAA guidelines when processing claims and handling confidential information.

What you will bring with you

• High school diploma or equivalent.
• Previous experience in a call center, customer service, or claims processing environment (preferred).
• Knowledge of dental insurance plans, benefits, and terminology (strongly preferred).
• Excellent verbal and written communication skills.
• Strong problem‑solving abilities and attention to detail.
• Ability to manage time effectively and handle multiple tasks simultaneously.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with CRM systems or claims processing software.
• Ability to maintain professionalism in a fast‑paced, customer‑focused environment.
• Strong social and communication skills to build rapport with customers and providers.
• Ability to work without supervision as well as part of a team.
• Knowledge of dental terminology and procedures is highly beneficial.
• Excellent organizational and multitasking abilities.
• Ability to work under pressure and meet deadlines while maintaining high‑quality work.

Salary Range: $39,300 – $53,100

We are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business.

Benefits

We prioritize your well‑being with comprehensive benefits, including generous vacation and sick time, market‑leading paid family, parental and adoption leave, medical coverage, company‑paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer‑funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth.

EEO

Statement

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Category

Customer Service / Operations

Posting End Date

28/01/2026

Seniority Level

Not Applicable

Employment Type

Full‑time

Job Function

Sales and Management

Industries

Financial Services and Insurance

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