Delta Dental of IowaCustomer Service and Care Coordinator
Apr. 2014 - Dec. 2016United States, Johnston- Provided inbound customer support for members, dental offices, and state agencies, resolving inquiries and delivering clear explanations of claim outcomes
- Handled patient complaints and dental office appeals with professionalism and accuracy, ensuring timely resolution and compliance with plan guidelines
- Keyed and adjudicated Level 1 and Level 2 claims, reviewed supplemental documentation, and processed online inquiries for further evaluation
- Created and maintained comprehensive filing systems for both on-site and off-site records, including claims, correspondence, return mail, and miscellaneous documentation
- Managed daily mail operations and distributed Explanation of Benefits (EOBs) and remittance advices on a scheduled basis
- Led end-to-end training for new hires, developed detailed training documentation tailored to various learning styles and responsibilities
- Cross-trained across multiple functions to support operational flexibility and team coverage
- Handled escalated supervisor calls and provided detailed claim analysis to dental offices, identifying errors and trends to improve accuracy and service delivery