Responsibilities
Job Description
Are you a dental professional who carefully notices details and has enthusiasm for finance and insurance As an Associate Medical Reviewer at Principal, you will play a crucial role in ensuring detailed handling and analysis of dental claims. This outstanding opportunity allows you to bring to bear your dental expertise in a corporate setting, making accurate and timely decisions that follow policy and regulations. Join us to be part of a team that sets the standard for excellence!
Responsibilities
- Evaluate, interpret, and arrive at appropriate and accurate conclusions on dental claims aligned with policy and state/federal law and regulations.
- Analyze claim details and apply knowledge of claims procedures, product development, contract provisions, and state and federal regulations to make appropriate, accurate, and timely claim decisions.
- Understand plan provisions, determine eligibility, verify data input, identify accurate benefit levels, coordinate benefits, and make necessary corrections.
- Maintain a high degree of accuracy and pay strict attention to detail.
- Work independently with good time management skills as well as in a team environment.
- Efficiently navigate and use multiple technology solutions.
- Maintain confidentiality and thrive in a fast-paced, production environment.
Qualifications
Qualifications
- Bachelor of Dental Surgery (BDS) internship fulfilled or relevant equivalent experience
- 1-3 years of non-clinical work experience is preferred (in TPA, insurance sector, financial services, etc.).
- Proficient in conveying information clearly through writing and speaking.
- Ability to use basic math skills to determine claim payment.
- Skilled in MS Office.
- Willingness to work night shifts during training (5:30pm to 2:30am) and regular shifts (1:30pm to 10:30pm).
Must Haves
- Bachelor of Dental Surgery (BDS) internship fulfilled or relevant equivalent experience.
- Minimum 1-2 years of non-clinical work experience is preferred (in TPA, insurance sector, financial services, etc.).
- Ability to work in night shift during the training time (5:30pm to 2:30 am) and in 1:30 pm to 10:30pm as regular work timings. (Should be flexible for both)
- Skilled in MS Office, with strong written and verbal communication abilities.
Additional Information
Experience Principal
- At Principal, we value connecting on both a personal and professional level. Together, we're imagining a more purpose-led future for financial services and that starts with you. Our success depends on the unique experiences, backgrounds, and talents of our employees. And we support our employees the same way we support our customers: with comprehensive, competitive benefit offerings crafted to protect their physical, financial, and social well-being. Check out our careers site to learn more about our purpose, values and benefits.
Principal is an Equal Opportunity Employer
- All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
