Dental Claims Specialist Job at Beacon Hill (St. Louis)

Dental Claims Specialist

Location

United States , St. Louis

Salary:

21.00 USD / Hour

Beacon Hill

Expiration Date

Until further notice

Requirements

Recent Dental experience is a must have
Health Plan experience is strongly preferred
Familiar with CDT codes and dental terminology
Coordination of Benefits a huge plus
Ability to operate at a fast pace
Strong attention to detail
Must be able to work a hybrid schedule

Fulltime

Dental Claims Specialist

General Description: Recent Dental experience is a must have. Health Plan experi...

Location

United States , St. Louis

Salary:

21.00 USD / Hour

Beacon Hill

Expiration Date

Until further notice

Requirements

Recent Dental experience is a must have
Health Plan experience is strongly preferred
Familiar with CDT codes and dental terminology
Coordination of Benefits a huge plus
Ability to operate at a fast pace
Strong attention to detail
Must be local to St. Louis, MO

Fulltime

Appeals And Grievances Clinical Specialist - Rn, Lpn Or Dental Hygienist

Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member...

Location

United States , New York City; Lake Mary

Salary:

73400.00 - 120360.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

RN, LPN OR Dental Hygienist
Bachelor’s degree
Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management
Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines
Ability to work independently on several computer applications such as Microsoft Word and Excel, as well as corporate email and virtual filing system, (ie. Macess)
Experience with care management systems, such as CCMS, TruCare and Hyland
Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment

Job Responsibility

Responsible for case development and resolution of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, Pre-certification, Continued Stay, Reduction, Termination, and Suspension of services
Research issues
Reference and understand HF’s internal health plans policies and procedures to frame decisions
Interpret regulations
Resolve cases and make critical decisions
Update file documentation such as the file notes and case summary
Manage all duties within regulatory timeframes
Communicate effectively to hand-off and pick-up work from colleagues
Work within a framework that measures productivity and quality for each Specialist against expectations
Prepare cases for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case

What we offer

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

Fulltime

Senior People Ops & System Specialist

We are looking for a detail-oriented and proactive Senior People Operations & Sy...

Location

United Kingdom , London

Salary:

Not provided

Aptitude Software

Expiration Date

Until further notice

Requirements

3+ years of experience in a People Operations, HR Shared Services
Hands-on experience administering an HRIS platform
Understanding of UK employment law, statutory benefits, and HR compliance requirements
Proven ability to process high volumes of HR transactions accurately and to deadline
Strong data-handling skills
comfortable with Excel/Google Sheets and HRIS reporting tools
Excellent attention to detail and a process-improvement mindset
Strong interpersonal and communication skills
Ability to handle confidential and sensitive information with discretion

Job Responsibility

Serve as the primary system administrator for Connect HR, owning configuration, data integrity, user access, and ongoing maintenance
Process all HR transactions in Connect HR including new hires, role changes, promotions, salary adjustments, transfers, and leavers
Build, innovate and maintain workflows, approval chains, and automated alerts within the system to support HR processes
Perform regular audits to ensure employee records are accurate, complete, and compliant with local data protection requirements (UK GDPR / US state laws)
Act as the first point of contact for employee and manager queries related to Connect HR
developing modernised and easy to navigate user guides and deliver system training
Collaborate with the vendor and internal IT teams on system upgrades, integrations, and troubleshooting
Manage end-to-end employee lifecycle administration: contracts, onboarding, changes, and offboarding documentation for APAC, UK and US employees
Maintain and update HR policies, employee handbooks, and process documentation to reflect current UK and US employment law
Support payroll preparation by ensuring all people changes are accurately reflected and communicated to payroll teams on time

What we offer

ShareSave scheme – ability to purchase company shares on preferential terms
Private healthcare
Income protection and group life insurance
Pension Scheme
Company Funded Health Cashplan
Employee Assistance Programme
Access to Private Dental Benefits
Flexible / hybrid working options
Enhanced Family Friendly Leave for adoption, maternity and paternity
Bike 2 Work Scheme

Fulltime

Senior People Ops & System Specialist

We are looking for a detail-oriented and proactive Senior People Operations & Sy...

Location

Poland , Wrocław

Salary:

Not provided

Aptitude Software

Expiration Date

Until further notice

Requirements

3+ years of experience in a People Operations, HR Shared Services
Hands-on experience administering an HRIS platform
Understanding of UK employment law, statutory benefits, and HR compliance requirements
Proven ability to process high volumes of HR transactions accurately and to deadline
Strong data-handling skills
comfortable with Excel/Google Sheets and HRIS reporting tools
Excellent attention to detail and a process-improvement mindset
Strong interpersonal and communication skills
Ability to handle confidential and sensitive information with discretion
Experience supporting HR administration in Poland, including knowledge of the Polish Labour Code and ZUS obligations

Job Responsibility

Serve as the primary system administrator for Connect HR, owning configuration, data integrity, user access, and ongoing maintenance
Process all HR transactions in Connect HR including new hires, role changes, promotions, salary adjustments, transfers, and leavers
Build, innovate and maintain workflows, approval chains, and automated alerts within the system to support HR processes
Perform regular audits to ensure employee records are accurate, complete, and compliant with local data protection requirements
Act as the first point of contact for employee and manager queries related to Connect HR
developing modernised and easy to navigate user guides and deliver system training
Collaborate with the vendor and internal IT teams on system upgrades, integrations, and troubleshooting
Manage end-to-end employee lifecycle administration: contracts, onboarding, changes, and offboarding documentation for APAC, UK and US employees
Maintain and update HR policies, employee handbooks, and process documentation to reflect current UK and US employment law
Support payroll preparation by ensuring all people changes are accurately reflected and communicated to payroll teams on time

What we offer

Private healthcare
Life and disability insurance
ShareSave scheme – ability to purchase company shares on preferential terms
English language lessons during working hours
Flexible working conditions and hybrid work model
EAP
Multisport card
Free foreign travels insurance (for no work-related travels)
Easter/ Christmas Funding

Fulltime

Global Senior Benefits Specialist

We are seeking a proactive and execution-oriented Global Senior Benefits Special...

Location

United States , McLean

Salary:

Not provided

Appian Corporation

Expiration Date

Until further notice

Requirements

5+ years of experience in benefits administration with demonstrated ownership of complex benefits programs
Bachelor's degree in Human Resources, Business Administration, or a related field
Strong working knowledge of U.S. health and welfare benefits and retirement plans
international benefits exposure across North America, EMEA and/or APJ preferred
Experience partnering with external vendors, brokers, and cross-functional internal stakeholders
Strong analytical and problem-solving skills with experience working in spreadsheets, reporting, and data audits
Experience with benefits administration systems
Workday experience strongly preferred
Comfort leveraging AI and automation tools to improve workflows and productivity
Ability to manage multiple priorities independently in a fast-paced, evolving environment

Job Responsibility

Support the administration of U.S. health and welfare programs, including medical, dental, vision, HSA/FSA, life and AD&D, disability, leave programs, and voluntary benefits
Assist with daily administration of the U.S. 401(k) program, including employee inquiries, compliance coordination, and partnership with plan administrators and financial advisors
Partner with internal stakeholders and leave administration vendor to support employee leave programs, including FMLA, STD, LTD, parental leave, and state-specific leave programs
Ensure timely and accurate processing of enrollments, life events, audits, and payroll-related benefits activities
Support the administration and delivery of benefits programs across EMEA and APJ regions in partnership with local brokers, vendors, and HR teams
Assist with global renewals, implementation activities, employee communications, and benefits data management
Help ensure smooth execution of regional benefit programs while supporting compliance with local statutory requirements and market practices
Maintain accurate global benefits documentation, enrollment workflows, and reporting
Support compliance efforts related to ERISA, ACA, COBRA, HIPAA, nondiscrimination testing, and other U.S. regulatory requirements
Partner with regional stakeholders to support compliance and governance activities across international programs

What we offer

Health coverage
Employee Assistance Program (EAP) with free mental health support
Life and disability insurance
Employee Stock Purchase Program (ESPP)
Retirement/pension plan
Wellness dollars
Tuition reimbursement
Family-forming benefits

Fulltime

Bilingual HR Benefits Specialist

We are seeking a Bilingual (English and Spanish) HR Benefits Specialist to suppo...

Location

United States , Milwaukee

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in Human Resources, Benefits Administration, or a related field preferred
Bilingual language skills required
Strong communication and customer service skills
High attention to detail and strong organizational abilities
Ability to handle sensitive and confidential information with professionalism
Proficiency in Microsoft Office and HRIS systems preferred
Knowledge of employee benefits and HR practices is a plus

Job Responsibility

Administer employee benefits programs, including medical, dental, vision, life insurance, and retirement plans
Assist employees with benefits enrollment, changes, and questions, providing bilingual support as needed
Maintain accurate employee benefits records and related documentation
Coordinate with insurance carriers and vendors regarding claims, eligibility, and billing issues
Support open enrollment processes, including employee communications and education
Ensure compliance with company policies and applicable laws and regulations
Process leave of absence paperwork, including FMLA and disability claims, when applicable
Assist with benefits reporting, audits, and special projects
Educate employees on available benefits and company-sponsored programs

What we offer

medical
vision
dental
life and disability insurance
401(k) plan
free online training

Senior Manager, Global Benefits

PerkinElmer is seeking an experienced Global Benefits Manager to join our Total ...

Location

United States , Remote

Salary:

132500.00 - 150000.00 USD / Year

PerkinElmer

Expiration Date

Until further notice

Requirements

Bachelor’s degree in business, finance, human resources, or a related field
10+ years of progressive benefits experience, with significant depth in US self-insured health plan design, administration, and strategy
2+ years of global benefits administration and familiarity with global pooling
CEBS (Certified Employee Benefit Specialist) or CBP (Certified Benefits Professional) designation preferred
Demonstrated experience managing consultant relationships and holding external partners accountable for performance and value delivery
Strong command of US benefits regulatory compliance, including ERISA, ACA, HIPAA, COBRA, FMLA, and related requirements
Experience managing open enrollment end-to-end, including testing and communications
Analytically strong — able to work with claims data, cost trend analysis, and financial modeling
comfortable presenting to senior leadership

Job Responsibility

Serve as primary owner of the US self-insured medical, prescription drug benefit and dental programs, with deep understanding of plan funding, claims administration, and stop-loss structure
Partner with the US consultant (WTW) and third-party administrators to manage plan performance, cost trends, and utilization, bringing forward proactive, creative recommendations to reduce trend
Own and manage relationships with all US benefits vendors including medical, dental, vision, life, disability, EAP and voluntary
Lead annual plan design review and renewal strategy in close partnership with WTW
Own the annual open enrollment process end-to-end
Develop and execute a communications strategy that is employee-centered
Create and maintain employee-facing benefit resources including guides, orientation, FAQs and change communications
Partner with HR Technology and benefits administration vendor to ensure accurate plan configuration
Act as the escalation point for complex employee benefits issues and appeals
Ensure plan documents, SPDs, and legal notices are accurate, current, and compliant

Fulltime

Select Country

Dental Claims Specialist

Requirements

Looking for more opportunities?

Dental Claims Specialist

Dental Claims Specialist

Dental Claims Specialist

Appeals And Grievances Clinical Specialist - Rn, Lpn Or Dental Hygienist

Senior People Ops & System Specialist

Senior People Ops & System Specialist

Global Senior Benefits Specialist

Bilingual HR Benefits Specialist

Senior Manager, Global Benefits

Our AI answers in your language