Mutual of Omaha is a company that values integrity and inclusiveness, and they are seeking a Dental Customer Service Representative. The role focuses on providing high-quality service to dental providers and policyholders, handling inquiries related to dental products and services, and ensuring effective resolution of customer issues.
Responsibilities:
- Handle both outbound and inbound calls from Dental providers, members, and policyholders regarding dental benefits, claims, and payments, delivering accurate and empathetic service
- Research, analyze, and resolve routine inquiries using multiple systems, policies, and reference materials, escalating sensitive or complex issues as needed
- Explain claim status, benefit determinations, and payment details clearly, placing outbound calls only when follow-up or clarification is required
- Collaborate with internal teams and apply problem-solving skills to resolve discrepancies and turn service issues into positive experiences
- Stay current on dental terminology, benefit plans, regulations, and internal processes while managing priorities efficiently in a fast-paced environment
Requirements:
- Strong oral and written communication skills with the ability to deliver thorough, high-quality customer service and sound judgment
- Minimum 1 year of customer service or contact center experience; health, dental, or insurance background preferred
- Basic knowledge of dental insurance products and familiarity with medical/dental terminology
- Proficient in using multiple computer systems simultaneously, with strong typing, documentation, and multitasking skills, while managing high call volume
- Detail-oriented, adaptable, and analytical, with a commitment to privacy (HIPAA), regulatory compliance, and flexible scheduling requirements
- You promote a collaborative culture, value different ideas and opinions, and listen courageously, remaining curious in all that you do
- Able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico
- Planning and organizing skills with the ability to set priorities
- Basic product knowledge of assigned area
- Knowledge of medical terminology