Massachusetts Veterans Jobs

Position Summary

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.

Candidate Responsibilities

• 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

leasing clients.

• Participate in projects as needed related to our DentalGuard Preferred and DentalGuard Preferred Select dentists.

Reporting Relationships

This position reports to the Network Leasing Team Leader, who reports to the Manager of Dental Standards.

Functional Skills

• 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

Leadership Behaviors

• Continuously strives to provide superior products and customer service

• Expresses oneself in an open and honest manner

• Demonstrates self-awareness and embraces feedback

Position Qualifications

• 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

Travel

5% Travel as needed.

Salary Range

$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.

Our Promise

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.

Inspire Well-Being

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.

Health Care

• Choice of [high deductible/copay] medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits

• Dental plan

• Vision plan

• 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

• Accident insurance

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

• Adoption assistance

• College planning

• Tuition reimbursement

• 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

• Matching gifts/volunteering

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 applicant_accommodation@glic.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 .