Sr. Dental Appeals Claims Examiner

Alternate Locations: Work from Home     Work Arrangement: Remote : Work at home employee residing outside of a commutable distance to an office location.   Relocation assistance:   is not available for this opportunity.   Requisition #:  76591   The Role at a Glance

We are excited to be seeking a highly motivated Senior Dental Appeals Claims Examine for our Claims Organization in a remote environment.   Background Details

As a  Senior Dental Appeals Claims Examiner , you'll independently review denied dental claim appeals to ensure accurate, compliant, and timely decisions. Leveraging your knowledge of dental claims, ERISA, and state and federal regulations, you'll evaluate appeal requests, communicate clear and concise outcomes, and partner across teams to deliver a high-quality customer experience while protecting PHI. If you enjoy analytical problem-solving and making meaningful decisions, this role is for you. If this sounds like a role for you, please read on! What you'll be doing

You will analyze & process claims by investigating information. Apply claim policies & procedures and engages intervention of internal/external resources to ensure fair, ethical, & timely management of assigned claims. You will analyze and interpret complex coverage contracts to determine if eligibility is met. You will liaise with various stakeholders from across the business (Enrollments, DentalConnect) to obtain needed information to clarify and address issues. You will rovide customers with explanations of policy details and claim determination. You will effectively utilize and implement policies & procedures regarding overall claims workflow.  You will propose and develop practices & processes to improve performance and the customer experience. You will work as an individual and part of a team to ensure all new appeal assignments are acted on within department turnaround times. What we’re looking for

High School diploma or GED or minimum Associate degree in lieu of required experience.  3 - 5+ Years of  DENTAL CLAIMS processing experience directly aligned to the specific responsibilities for this role.

3-5 years experience processing dental claims.   Understand dental medical terms, records and test results. Ability to read, analyze and interpret Dental policies. Demonstrate strong written and verbal communication. Ability to work with others in a team environment. Demonstrates excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail. Demonstrates strong interpersonal skills with a collaborative style. Demonstrates the ability to use sound judgment and discretion regarding confidential information Application Deadline

Applications will be accepted through September 15, 2026, and posting may be taken down early due to applicant volume.   What’s it like to work here? At Lincoln Financial, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.    What’s in it for you:

Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes

Leadership development and virtual training opportunities

PTO/parental leave

Competitive 401K and employee benefits

Free financial counseling, health coaching and employee assistance program

Tuition assistance program

Work arrangements that work for you

Effective productivity/technology tools and training

The pay range for this position is $25.87 - $35.84 with anticipated pay for new hires between