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
- Bachelor of Dental Surgery (BDS) with completed internship; Master of Dental Surgery (MDS) or equivalent experience is preferred.
- 1-2 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(in office) time (5:30pm to 2:30 am) and in 1:30 pm to 10:30pm as regular work timings.- Should be flexible for both shift
- 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.
