Dental Claims Specialist

The Dental Claims Specialist assesses, adjudicates, and processes complex dental claims, pre-authorizations, and special coverage requests while responding to inquiries from members and providers. This role involves reviewing questionable pre-authorizations, coordinating benefits for out-of-country and accidental dental claims, and maintaining accurate production reports. The position requires strong analytical and customer service skills to ensure timely and accurate claims processing within a supportive, hybrid work environment.