DOMINION NATIONAL IS A LEADING INSURER AND ADMINISTRATOR OF DENTAL AND VISION BENEFITS. We seek a better way to serve you, so you can focus on what makes you extraordinary and fulfilled.

Title: Member Services Specialist
Work Location: Dominion National, Arlington, VA
Department: Member Services
Direct Supervisor: Director of Member Services
Position Status: Full-Time

Dominion National, a leading provider of dental and vision benefits in the Mid-Atlantic area, has an exciting opportunity for an experienced Member Services Specialist.


Summary:

To provide customer service to existing and prospective clients of Dominion and interpret benefit coverage for enrollees and dental offices to ensure maximum customer satisfaction.

Essential Job Functions (include but are not limited to):

  • Provide uniform interpretation of benefits to members, providers and employer groups. Explain and clarify plans’ policies and procedures.
  • Actively attempt to resolve member or provider concerns, which may include contacting other appropriate parties to facilitate the resolution of such concerns and adequately documents the information on the billing system.
  • Retrieve packages and forwards written correspondence (to include brochures provider lists and other printed materials) to enrollees when appropriate.
  • Investigate verbal complaints concerning billing, claims or service rendered. Escalate complaints of service failures to designated departments for investigation.
  • Meet established ACD system call statistics goals.
  • Meet all individual monthly performance goals.
  • Maintain current knowledge of Member Services policies and procedures.
  • Perform other work-related duties as assigned.


Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Member Services Specialist will, at a minimum, possess the following credentials:

  • High school diploma or general education degree (GED). 
  • At least 1 year of Call Center experience preferred.
  • At least 1 year of consumer-to-consumer customer service experience.
  • Knowledge of and prior experience in Dental, Medical or Managed Care industry is preferred.  
  • Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player.
  • Must possess strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving.
  • Proficiency in Microsoft Word, Microsoft Outlook and Internet Explorer.
  • Strong communication skills over the phone and face-to-face.
  • Ability to deal with problems involving several concrete variables in standardized situations. 
  • Fluent in Spanish is a plus.


For the ideal candidate we offer a competitive salary and excellent benefits including medical, dental, disability, 401(k) company match, paid parking or metro stipend, paid holidays, and paid time off. For immediate consideration, please forward a cover letter including salary requirements (required) and resume to hr@DominionNational.com with subject line: Member Services Specialist.

Dominion National is an equal opportunity employer. Applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color religion, national origin, disability, protected Veteran’s status, age or any other characteristic protected by law.