Regulatory Coordinator

The Regulatory Coordinator processes appeals, complaints, and grievances under the direction of the Regulatory Supervisor. They analyze, research, and make determinations on exception requests, Office of the Insurance Commissioner inquiries, grievances, and appeals, as well as manage and present relevant information to our formal Appeal’s Committee. They work cross-departmentally, and with our members and external organizations such as third-party administrators, groups, Better Business Bureau, Attorney General, and the Office of Insurance Commissioner (OIC). The successful candidate will have the ability to work in a confidential manner while partnering across business units and regulatory agencies to meet set service-level agreements.

Requirements

• Associate degree (A.A) or equivalent from a two-year college or technical school, or four years dental office related experience and/or training
• Four years of experience working within relevant departments at DDWA may be substituted for education or experience, with the approval of the hiring manager
• Demonstrate experience in hard copy and electronic document handling, preparation, filing, storage, and version control
• Advanced document preparation (formatting, manipulation, verbiage, and proofreading) skills
• Broad knowledge of Microsoft Office products and Adobe Acrobat
• Strong written and verbal communications skills
• Exhibits polite and professional communication via phone, e-mail, and mail with a keen attention to detail and accuracy
• Proven customer service and interpersonal skills, working with a diverse group of internal and external customers
• Strong time management and organizational skills, ability to prioritize and work independently under stringent timelines
• Familiarity with database structures, use and data entry practices
• Ability to learn new systems, databases, and web applications
• Proficient with Dental on Demand, DDWA’s claims processing systems, KMS Lighthouse, Customer Support Center, and/or general dental or insurance practices strongly preferred

Benefits

• Medical, dental, and vision plans
• 401k matching
• Tuition reimbursement plan
• Professional development plans
• Employee-led communities