Elevate your career as a Dental Claims Auditor with Navacord, where you'll perform high-quality audits on dental claims. Leverage your expertise to deliver valuable insights and recommendations to clients.
In this role, you will conduct detailed audits for dental claims, analyze data, and identify patterns or trends. Your expertise will support our consulting team, delivering recommendations to enhance clients' Group Benefits plans. You will also prepare formal reports and presentations to communicate findings and generate business opportunities.
Key Responsibilities:
• Conduct thorough audits on dental claims and adjudication processes
• Analyze dental claim data to detect patterns and anomalies
• Summarize and interpret plan designs from insurance contracts
• Provide insights for improving claims processes and risk management
• Present audit findings and recommendations to clients
Requirements:
• 5-10 years in processing dental claims for Group Benefit plan...