Providing determination of the claims including approval and detailed denial explanations to dental providers' oﬃce, policy holders, vendor and third party callers.

Needing to be familiar to most of the dental codes in order to provide more accurate details about the cost of services, insurance coverage percentage per procedure, stipulations and eligibility.

Reviewing and explaining payments calculation and over payments calculation to make sure that all the inquiries, concerns, and or disputes from the callers will be covered to increase ﬁrst contact resolution without escalations.