Claims System Coordinator

Posted 3 Days Ago
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Hiring Remotely in 92782, Tustin, CA, USA
In-Office or Remote
28-34 Hourly
Mid level
Healthtech • Insurance
The Role
Coordinate and support claims and utilization management operations, ensuring accuracy in systems and benefit implementations while collaborating across teams.
Summary Generated by Built In

LIBERTY Dental Plan is seeking a Claims Systems Coordinator to support claims and utilization management operations. This role plays a key part in ensuring system configuration accuracy, benefit implementation integrity, and effective collaboration across Claims, UM, Account Management, and IT teams.

If you enjoy working with claim systems, auditing benefit setups, and solving complex adjudication scenarios, this role offers the opportunity to deepen your impact and expand your system and project coordination experience.

What You’ll Do

You’ll support claims system accuracy and operational effectiveness through testing, auditing, and cross‑functional coordination:

  • Coordinate, track, and complete claim‑ and system‑related projects
  • Analyze and process complex UM and claim scenarios
  • Assist with benefit implementation and system configuration
  • Support research projects and new business implementation as needed
  • Partner with management to create, update, and maintain department policies and procedures
  • Collaborate with UM and Claims teams to identify and create system code rules
  • Audit and test existing code rules and recommend improvements
  • Audit and test new and existing benefit setups related to UM and claim adjudication
What You BringRequired
  • High school diploma or GED
  • 2–4 years of experience in PPO and HMO claim processing, billing, or auditing
  • Proficiency with Microsoft Word, Excel, and Access
  • Strong written and verbal communication skills
  • Advanced analytical skills, including data review and reporting
Preferred
  • Bachelor’s degree
Who You Are

You are someone who:

  • Pays close attention to detail and system accuracy
  • Is comfortable navigating complex claim and benefit scenarios
  • Communicates clearly with both technical and operational partners
  • Enjoys structured work, testing processes, and continuous improvement
  • Works well across teams and departments
QualificationsLocation

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.


What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.


Our first-class benefits package supports employees and their dependents with:
  • Competitive pay structure and savings options to help you reach your financial goals.

  • Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.

  • Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.

  • 100% employer-paid dental coverage for employees and eligible dependents.

  • Vision insurance with low-cost premiums for employee-only coverage and dependents.

  • Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.

  • Flexible Spending Accounts for healthcare and dependent care expenses.

  • Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.

  • Long-term disability coverage.

  • Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.

  • Employee Assistance Program (EAP) to support mental health and well-being.

  • Generous vacation and sick leave policies, with the ability to roll over unused time.

  • 10 paid company holidays.

  • Tuition reimbursement for eligible educational expenses.

  • Remote or hybrid work options available for various positions.


Compensation

In the spirit of pay transparency, the base salary range for this position is $27.50 - $33.50 an hour, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.


Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.


Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. 


Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. 


We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.


Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.

Skills Required

  • 2-4 years of experience in PPO and HMO claim processing, billing, or auditing
  • High school diploma or GED
  • Proficiency with Microsoft Word, Excel, and Access
  • Strong written and verbal communication skills
  • Advanced analytical skills, including data review and reporting
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The Company
1,021 Employees
Year Founded: 2002

What We Do

LIBERTY Dental Plan is a dental benefits administrator founded by dentists and health industry professionals in 2002. It administers dental benefits for millions of members across all 50 states, focusing on quality, innovation, and affordability to improve oral health outcomes.

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