Guardian Life Processing & Policyholder Services Support Associate III in Boston, Massachusetts
Under minimal guidance, ensure the accuracy and integrity of the claim repricing files and repricing programs and ensure timely and accurate resolution of claim situations and disputes. This person will continually strive to provide superior products and customer service and will proactively look at new and different ways of approaching work.
Prepare, create, verify and distribute dental network data to each leasing client as indicated in the Leasing client agreement.
Run the Network Leasing repricing program daily. Investigate and correct errors.
Run daily network automations to refresh DentalGuard Preferred Select Network data, including retrieving alternate payees, administrative dentists and fee data according to workflows.
Investigate and accurately resolve DentalGuard Preferred Select Network claim disputes, complaints and inquiries usually received via email or by phone.
Assist in the completion of Requests for Proposals, Network Claim Pricing Proposals for potential
- Participate in projects as needed related to our DentalGuard Preferred and DentalGuard Preferred Select dentists.
This position reports to the Network Leasing Team Leader, who reports to the Manager of Dental Standards.
In depth knowledge of Dental Network Administration (DNA) and Claimfacts systems, PPO dentist data and fee schedules.
Strong knowledge of Guardian dental networks and DentalGuard Preferred dentist agreements and exhibits, dental procedure codes and descriptions.
Works effectively with all contacts, including Leasing Clients, associates from across the Group Dental Product areas.
Ability to problem solve and make decisions independently
Adapts to changing business priorities and environments
Continuously strives to provide superior products and customer service
Expresses oneself in an open and honest manner
Demonstrates self-awareness and embraces feedback
Minimum of 4 years of dental claim processing and/or PPO DentalGuard Preferred provider experience
Strong Microsoft Word and Excel skills
Strong written and oral communication skills
Must be detail oriented and have strong analytical skills
5% Travel as needed.
$40,260.00 - $60,390.00
The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues.
Choice of [high deductible/copay] medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits
Health care accounts – flexible spending, health reimbursement, and health savings accounts
Critical illness insurance
Life and Disability Insurance
Company-paid Life and Disability insurance plus voluntary supplemental coverage
Retirement and Financial
401(k) retirement plan with a company match, plus an annual age/service-based Company contribution and an annual profit-sharing contribution, if applicable
Complimentary 1:1 financial guidance with a licensed Fidelity representative
Time Off and Remote Work
Flexible work arrangements (part in-person/part remote)
Unlimited paid time off for most roles plus time off for volunteering, jury duty, voting, and bereavement
Personal holidays for colleagues to use in recognition of religious, cultural, or civic days
Paid parental leave and paid family and medical leave policies
Emotional Well-being and Work-Life
Emotional well-being, mental health, and work/life resources powered by Spring Health
Wellness programs, including fitness program and equipment reimbursement
Child, adult, and elder back-up care support through Bright Horizons
Student loan assistance
Commuter benefits in select metropolitan areas
Justice, Equity, Diversity & Inclusion (J.E.D.I.)
Employee Resource Groups that advocate for inclusion and diversity
J.E.D.I. certification and training programs
Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.
Equal Employment Opportunity
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact email@example.com .
Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being — mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .
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