Customer Service Representative

Job DescriptionDelta Dental of New Mexico, Inc. is seeking a full time, compassionate, highly-motivated and energetic Customer Service Representative for our Albuquerque, NM offices.The successful candidate will have excellent customer service and interpersonal skills, and demonstrate the ability to always maintain professionalism and patience when speaking with internal and external customers. Candidate will be highly organized, be able to work independently. Demonstrated proficiency in Microsoft Outlook, Excel, and Word for Windows is required. Must have excellent writing, verbal and interpersonal communications skills and be an organized team player who can multi-task, maintain detailed records and manage time well. Candidate must be able to work under stress of meeting deadlines and changing priorities.Other minimum requirements include a High School Diploma and at minimum one year call center experience. Bilingual (English/Spanish) applicants and those with dental experience will be given special consideration.Performs timely and accurate customer service including the auditing, coding and entry of claims related data.Responsible for accurate and timely written and verbal communication to internal and external customer base including members, groups, dental offices, and the broker community.Maintains the product/process knowledge required to respond to customer service inquiries: understands and explains benefits, answers plan and/or service related questions.Performs accurate and timely adjudication and adjustments of claims resulting from claim inquiries and daily claims inventory.Maintains the required performance standards relating specifically to Customer Service and claims processing.Maintains files and databases as required by department policies and procedures.Coordinates inquiries requiring additional information with other departments in a cooperative, efficient, and professional manner.”Work Location:One locationWork RemotelyNoJob Type: Full-timePay: $14.00 – $16.00 per hourBenefits:401(k)401(k) matchingDental insuranceDisability insuranceEmployee assistance programFlexible spending accountHealth insuranceLife insurancePaid time offParental leaveTuition reimbursementVision insuranceSchedule:Monday to FridayAbility to commute/relocate:Albuquerque, NM 87109: Reliably commute or planning to relocate before starting work (Preferred)Education:High school or equivalent (Preferred)Work Location: One location