Senior Clinical Dental Consultant

November 5

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Sun Life

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10,000+

Description

• The Sr. Clinical Dental Consultant reviews claims based on medical necessity • Evaluate appeals and identify if proper documentation has been obtained • Communicate claim review outcomes to participating Dentists, plan members, and Health Plans • Develop knowledge and understanding of state and federal dental regulations • Represent the company in a professional manner for the market

Requirements

• Graduate of an accredited Dental School (D.D.S. or D.M.D) • Maintain an unrestricted dental license • Knowledge of general dentistry • Efficient PC skills • Ability to use analytical/presentation tools such as Excel and PowerPoint • Organizational and time management skills • Ability to work in a team and independently • Ability to make independent determinations on dental claims • Excellent written and verbal communication skills • Ability to distinguish between multiple market benefits • Networking and Negotiation skills required • Ability to travel as needed

Benefits

• Excellent benefits and wellness programs to support well-being • Generous vacation and sick time • Market-leading paid family, parental and adoption leave • Partially-paid sabbatical program • Medical plans • Company paid life and AD&D insurance • Disability programs • Retirement and Stock Purchase programs • 401(k) plan with employer-paid match • Employer-funded retirement account • Flexible work environment • Supportive, caring, collaborative and inclusive culture