Job Posting End Date: April 20 When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life\xe2\x80\x99s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
Award-winning culture
Inclusion and diversity as a priority
Performance Based Incentive Plans
Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
Generous PTO (including paid time to volunteer!)
Up to 9.5% 401(k) employer contribution
Mental health support
Career advancement opportunities
Student loan repayment options
Tuition reimbursement
Flexible work environments
All the benefits listed above are subject to the terms of their individual Plans.
And that\xe2\x80\x99s just the beginning\xe2\x80\xa6 With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you\xe2\x80\x99re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today! General Summary: General Summary The Network Data Specialist is accountable for updating and maintaining accurate and efficient Dental Vision provider records across multiple systems of record. The role is responsible for the collection and correction of data fields that are causing dental or vision claims to pend or adjudicate incorrectly. This role also provides additional support to internal partners within the dental vision team. Associates in this role work with multiple claims systems and systems of record, handling escalated issues and data corrections, and must be able to work independently with communication to management and other internal stakeholders. Principal Duties and Responsibilities
Update Dental Vision provider records across all systems of record to ensure accurate and timely dental vision claim payments
Create new Out of Network Dental Vision Provider records in necessary systems of record with a focus on accuracy and timeliness
Determine and update necessary data in all systems of record needed to assist in the completion of claims
Update provider data in system of record based on provider contract changes received, maintaining accurate provider records
Contribute to department productivity goals by meeting individual goals and organizational turnaround time expectations
Identify and share process improvement opportunities to improve the provider experience or internal user experience
Perform research to support data integrity efforts, and perform data entry of resultant data to ensure accurate information across all systems of record
Demonstrate an understanding of system issues encountered, and communicate timely when there is a need to escalate system issues
Research and facilitate solutions to escalated issues related to provider data, such as system errors, duplicate records, etc.
Make outbound calls to providers regarding inaccurate data records and collect documentation needed to update provider records
Process quarterly, biannual, or annual provider directory verifications in accordance with regulatory requirements, maintaining provider directory accuracy
Send provider updates received to leased networks on a weekly basis
Research and assign returned mail to appropriate departments
Work with Provider Relations, Customer Service, and Claims department to ensure meeting turnaround time for accurate claim processing
Continue to build additional knowledge and understanding of the Dental and Vision organization
Develop and maintain partnerships and open communications with peers and leadership
May perform other duties as assigned, including special projects
Job Specifications
Associates Degree or equivalent experience
Prior relevant experience preferred
Strong verbal and written communication skills
Demonstrate good investigative, research, and problem-solving skills
Action oriented, results driven and a team player that includes working with team members in a cross-site work environment
Exceptional data entry skills
High level of accuracy and attention to detail
Ability to work individually while working towards a team goal
Ability to gain high level knowledge involving Network Operations systems of record
Ability to multi-task, with a demonstrated ability to work in a fast-paced environment with a high degree of accuracy
Strong customer service philosophy
Critical thinking and problem-solving abilities
Familiarity with Microsoft Office, with strong Excel skills
Seek out job challenges and opportunities to constantly improve skills
#LI-CA1 ~IN2 Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide. The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience. $31,200.00-$49,600.00 Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans. Company: Starmount Life
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