Dental Claims Associate

Job Description

Dental Claims Associate

Location: Lincoln, Nebraska

Join a Mission-Driven Organization

We're seeking someone who is detail-oriented, adaptable, and passionate about customer service to join our Medical and Dental Claims Department team in Lincoln, NE.  

We’re proud to be named one of Lincoln’s Best Places to Work—and we’re looking for people who care deeply about helping others and want to grow with a mission-driven organization.

About NRECA

NRECA is the national trade association representing more than 900 consumer-owned electric cooperatives across the United States. We provide advocacy, financial services, and business solutions that help over 900 consumer-owned electric cooperatives across the country serve their communities and we operate with integrity, transparency, and a spirit of innovation.

The work in the Insurance & Financial Services department (I&FS) is dynamic and intellectually challenging, engaging, and deeply impactful. They work to develop and administer employee benefit plans and services which are diverse and the results help improve the quality of life for hard working Americans across the country. They foster a culture that emphasizes a strong sense of diversity, integrity, and belonging, driven by NRECA’s core values like communication, creative problem-solving, collaboration and accountability. If you’re motivated by purpose, enjoy variety, and care about people and outcomes, this is the team for you.

Position Summary

As a Dental Claims Associate, you'll help members navigate their dental benefits by analyzing claims, making benefit decisions, serving as a trusted resource for members and providers and delivering exceptional member service while meeting productivity and quality standards.

The work schedule is 8:15 a.m. to 5:00 p.m. and the position is eligible for NRECA’s hybrid schedule which allows flexibility to work from home up to 2 days per/week.  

Key Responsibilities

• Process and adjudicate dental claims according to plan provisions and company guidelines.

• Research, investigate, and resolve claim-related issues and discrepancies.

• Communicate with members and providers regarding coverage, eligibility, and claim determinations.

• Respond to inquiries through phone and written correspondence while providing excellent customer service.

• Ensure accuracy, quality, and productivity standards are consistently met.

• Prioritize and manage multiple tasks in a fast-paced, deadline-driven environment.

• Utilize analytical thinking and attention to detail to make sound benefit determinations.

Qualifications

Education, Experience, and Certifications (required and preferred)

Required Education: High school diploma or GED

Preferred Education: Associate degree in a business-related field

Required Experience:

• Up to 12 months experience in claims processing working with health/dental insurance plans or in a healthcare/dental billing office.

• Telephone customer service experience. 

Preferred Experience:

• Dental office experience with exposure to dental billing and/or handling the billing of dental claims, and/or verifying dental benefits with the insurance company. 

• Knowledge of dental codes, desired

Knowledge, Skills and Abilities (as demonstrated by prior work experience)

• Knowledge of medical insurance plans and healthcare benefits.

• Strong interpersonal skills and member service orientation.

• Excellent customer service and communication skills.

• Ability to manage multiple priorities with attention to detail.

• Proficiency with Microsoft Office applications.

• Ability to report to the office when required.

Essential Physical Requirements

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.

• Primarily sedentary work with extended periods of sitting.

• Visual acuity is sufficient for computer work and data analysis.

• Manual dexterity for frequent keyboard use.

• Occasional light lifting (up to 10 lbs).

• Effective communication in person, by phone, and via email.

Salary Range: $49,000 - $58,000

Final Compensation determined by individual qualifications, experience, and internal equity.

Disclaimer Statement: The preceding job description has been written to reflect management’s assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned.

Additional Requirement:

The preceding job description has been written to reflect management’s assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned.  All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

NRECA is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail humanresources@nreca.coop or call: 703-907-5992 - NRECA Arlington Human Resources. Please call 402-483-9275 - NRECA Lincoln Human Resources, for Lincoln, NE employment opportunities. We will make a determination on your request for reasonable accommodation on a case-by-case basis.

The U.S. Equal Employment Opportunity Commission (EEOC) recently released the 'Know Your Rights' poster, which updates and replaces the previous "EEO is the Law" poster and "EEO Is the Law Poster Supplement". 

Pay Transparency Non-Discrimination. NRECA will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. Please see the Pay Transparency Nondiscrimination Provision for more information.

E-Verify. As a Federal Contractor, NRECA is required to participate in the E-Verify Program to confirm eligibility to work in the United States. For information please click on the following link: E-Verify.

For more information about life at NRECA please visit www.Electric.coop.