Job Description

Responsibilities

Job Description

Are you a dental professional who carefully notices details and has enthusiasm for finance and insurance? As an Associate Medical Reviewer at Principal, you will play a crucial role in ensuring detailed handling and analysis of dental claims. This outstanding opportunity allows you to bring to bear your dental expertise in a corporate setting, making accurate and timely decisions that follow policy and regulations. Join us to be part of a team that sets the standard for excellence!

Responsibilities

  • Evaluate, interpret, and arrive at appropriate and accurate conclusions on dental claims aligned with policy and state/federal law and regulations.
  • Analyze claim details and apply knowledge of claims procedures, product development, contract provisions, and state and federal regulations to make appropriate, accurate, and timely claim decisions.
  • Understand plan provisions, determine eligibility, verify data input, identify accurate benefit levels, coordinate benefits, and make necessary corrections.
  • Maintain a high degree of accuracy and pay strict attention to detail.
  • Work independently with good time management skills as well as in a team environment.
  • Efficiently navigate and use multiple technology solutions.
  • Maintain confidentiality and thrive in a fast-paced, production environment.

Qualifications

Qualifications

  • Bachelor of Dental Surgery (BDS) with completed internship; Master of Dental Surgery (MDS) or equivalent experience is preferred.
  • 1-2 years of non-clinical work experience is preferred (in TPA, insurance sector, financial services, etc.).
  • Proficient in conveying information clearly through writing and speaking.
  • Ability to use basic math skills to determine claim payment.
  • Skilled in MS Office.
  • Willingness to work night shifts during training (5:30pm to 2:30am) and regular shifts (1:30pm to 10:30pm).

Must Haves

  • Bachelor of Dental Surgery (BDS) – internship fulfilled or relevant equivalent experience.
  • Minimum 1-2 years of non-clinical work experience is preferred (in TPA, insurance sector, financial services, etc.).
  • Ability to work in night shift during the training time (5:30pm to 2:30am) and in 1:30pm to 10:30pm as regular work timings.
  • Skilled in MS Office, with strong written and verbal communication abilities.

Additional Information

Experience Principal

  • At Principal, we value connecting on both a personal and professional level. Together, we’re imagining a more purpose-led future for financial services – and that starts with you. Our success depends on the unique experiences, backgrounds, and talents of our employees. And we support our employees the same way we support our customers: with comprehensive, competitive benefit offerings crafted to protect their physical, financial, and social well-being. Check out our careers site to learn more about our purpose, values and benefits.

Principal is an Equal Opportunity Employer

  • All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.


Job Details

Role Level: Not Applicable Work Type: Full-Time
Country: India City: Pune Division ,Maharashtra
Company Website: https://www.principal.com/ Job Function: Administrative Support
Company Industry/
Sector:
Financial Services

What We Offer


About the Company

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