Customer Service Specialist

Delta Dental of Idaho

Customer Service Specialist responsible for customer interactions and claims processing at Delta Dental of Idaho. Engaging with dental providers and subscribers to resolve benefit inquiries and claims.

Posted 5/12/2026full-timeBoise • Idaho • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Respond to stakeholder inquiries via phone or written correspondence, accessing reference materials as needed to analyze and determine appropriate response.
Prepare or process claims and adjustments in an accurate and timely manner.
Prepare inbound appeals for review.
Recommend and actively participate in implementing improvements in workflow and processing.
May perform backup functions in the following areas after additional training: Plan set up; Provider Database Maintenance; processing Orthodontia claims, and others as needed.
May serve as liaison for JIRA tickets for Dental Services team
May be assigned to a specialty team depending upon skillset.
Demonstrate a commitment to the organization’s vision, mission, values, code of ethics, and compliance/security standards.
Other duties as assigned

Requirements

What you’ll need

**KNOWLEDGE, SKILLS, AND ABILITIES**
- **A minimum of 2 years of experience as a Dental Assistant; Dental Hygienist; or front Dental Office staff is required. **
- A minimum of 1 year of experience in customer service.
- Knowledge of dental terminology
- Competency in Microsoft Office – Word, Excel, and Outlook
- Excellent oral and written communication skills and the ability to interact with internal and external stakeholders in an effective and positive manner.
- Ability to function with high levels of call volume and workload.
- Ability to understand individual group benefits and master contract provisions.
- Strong skills, abilities, and commitment to teamwork, customer service, and dependability.
- Attention to detail.

Benefits

Comp & perks

Delta Dental of Idaho offers a competitive benefits plan for eligible staff, including:
- Medical, dental, and vision
- 401K with up to 6% company contribution
- Generous PTO and up to 9 paid holidays
- Community Service time to volunteer in your community
- Hybrid schedule after initial training phase
- Tuition and continuing education reimbursement
- Casual dress code
- ...and more!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

dental terminologyclaims processingworkflow improvementprovider database maintenanceorthodontia claims processingcustomer service

Soft Skills

oral communicationwritten communicationteamworkdependabilityattention to detail