Claims Processor (3557-703)

DentaQuest Milwaukee, WI

The Claim Processor is responsible for consistently processing entry level and intermediate claims with 99% or greater accuracy rate using DentaQuest's proprietary claim processing software. Claim Processors are also responsible for taking member and provider calls during peak periods.


* Consistently process entry level and intermediate claim queues with 99% or greater accuracy rate

* Responsible for entry level adjustments to claims enterprise wide as necessary to meet corporate goals

* Serve as back up to call center during peak periods to ensure corporate wide service levels are met

* Perform other duties as requested.

Required Skills

* Strong interpersonal, written and verbal communication skills.

* Previous claim processing experience a plus.

* Attention to detail, accuracy and organization skills is essential.

* Demonstrates self-motivation by taking initiative to learn more and take on more challenges.

* Cooperative, professional and effective interaction skills with co-workers, company staff and visitors

* Ability to use basic office equipment and communicate via phone, computer technology, and via written and verbal channels

* Strong math competency

* Ability to efficiently operate computer

* Ability to work in excess of 40 hours in a week

* Ability to use Microsoft Office (Word, Excel, Outlook)

* Understanding of general insurance principles

* Able to follow verbal and written instructions

* Ability to read and comprehend at a high school level.

* Ability to communicate in an active office environment

* Ability to sit for more than 90% of an 8 hour day

Required Experience