Become a key player in dental claims management at Accerta. As a Dental Program Specialist, use your expertise to ensure precise adjudication and compliance in a hybrid work environment.
AccertaClaim Servicorp Inc. is seeking a Dental Program Specialist for a fixed-term 12-month contract. This hybrid role demands a depth of knowledge in dental benefits, claims adjudication, and regulatory standards. You will contribute to the development of a new claims adjudication platform while collaborating with stakeholders, teams, and product owners.
Key Responsibilities:
• Serve as internal expert on dental program rules and fee guides
• Translate complex policies into user stories for system configurations
• Support User Acceptance Testing and various quality assurance activities
• Assist with issue resolution and risk management during implementation
• Monitor claims adjudication performance and recommend optimizations
Requirements:
• 5+ years in dental benefits admi...