This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

This role involves evaluating processes, transactions, records, metrics, systems, and technology to identify and minimize risk, ensure compliance, and improve the effectiveness of operations and controls.

• Determines or validates accuracy, consistency, and compliance of component and end-to-end transaction processing in one or more business domains using production or test environment simulations, sampling, automated data reviews and analysis, and other methods.
• Participates in external audits or assessments, including tracking and monitoring requests and gathering responses.
• Investigates and quantifies impact and risk associated with problems, exceptions, inconsistencies, and opportunities for improvements identified in internal audit.
• Documents and reports the results of internal and external quality reports, assessments, audits and remediation verification.
• Documents and reports problems, exceptions, or opportunities for improvements to other departments.
• Maintains documents and records according to the corporate record retention policies, best practices for audit, and departmental standards.
• Participates in the evaluation and improvement of audit criteria and procedures, documentation, manuals, and records and assists in the tracking and reporting of departmental dashboard elements.
• Performs other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

Qualifications

• Associate’s degree, technical, vocational, or business school
• Two years of experience in customer service, dental claims processing, or quality control
• Previous experience using audit software and sampling, investigation, or auditing techniques preferred

Requirements

• Knowledge of word processing and spreadsheet applications
• Strong verbal and written communication skills
• Strong analytical skills
• Strong organization skills
• Ability to work independently and as part of a team
• Ability to resolve problems using independent judgment

Company Description

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.