Seasoned Remote Dental Customer Service & Claims Specialist – Champion Member Support, Benefit Navigation, and Claims Processing for brighthush’s Innovative Telehealth Ecosystem

About brighthush

brighthush is more than a dental benefits provider – it is a movement that reimagines oral health for the 21st‑century consumer. By fusing cutting‑edge technology with a people‑first philosophy, brighthush has become the trusted partner for thousands of families across the United States. Our mission is simple yet powerful: make dental coverage transparent, accessible, and truly patient‑centric. Whether a new member is navigating their first claim or a seasoned provider seeks streamlined communication, brighthush serves as the bridge that connects people to the care they deserve.

Why Join brighthush?

At brighthush, every interaction is an opportunity to create lasting impact. Our culture is built on empathy, innovation, and an unwavering commitment to customer satisfaction. As a Remote Dental Customer Service & Claims Specialist, you will be the frontline ambassador of our brand, ensuring that every member receives accurate, timely, and compassionate support. In return, you’ll enjoy a comprehensive rewards package that supports your professional growth, personal well‑being, and work‑life balance.

• Competitive base salary with performance‑based bonuses tied to customer satisfaction and productivity metrics.
• Comprehensive health, dental, and vision insurance plans with generous coverage options.
• Generous paid time off, flexible vacation policy, and paid parental leave.
• Unlimited learning and development budget, including access to industry‑specific courses and leadership training.
• Fully equipped home office delivered to your doorstep (laptop, dual monitors, keyboard, mouse, docking station).
• Annual wellness stipend and virtual fitness, mindfulness, and nutrition programs.
• Inclusive, collaborative, and supportive remote community with weekly huddles, monthly town‑halls, and open communication channels.

About the Role

As a Remote Dental Customer Service & Claims Specialist, you will be the voice of brighthush, guiding members through every step of their dental journey. Your day‑to‑day responsibilities will blend customer support, claims processing, and cross‑functional collaboration to ensure a seamless experience for both members and providers.

Key Responsibilities

• Handle inbound calls, emails, and live chat inquiries from members seeking assistance with dental coverage, claims, and benefits.
• Research policy details, claim status, and procedural information to provide accurate, up‑to‑date answers.
• Process transactions and referrals for policy modifications, ensuring all requests are tracked to completion.
• Utilize multiple electronic systems—including Salesforce, Microsoft Office Suite, and proprietary brighthush platforms—to deliver integrated, seamless support.
• Maintain a high level of professionalism, empathy, and active listening throughout every interaction.
• Collaborate with cross‑functional teams (claims, underwriting, provider relations) to resolve complex issues.
• Document all customer interactions accurately in the CRM and follow up on pending items.
• Adhere to company policies, compliance standards, and quality assurance metrics.
• Participate in continuous improvement initiatives, such as process mapping, root‑cause analysis, and knowledge‑base updates.

What You’ll Achieve

• Resolve member inquiries with a 95%+ satisfaction rate. • Reduce average claim processing time by 20% through proactive communication. • Contribute to the development of a dynamic knowledge base that empowers both members and internal teams. • Serve as a liaison between members and providers, ensuring smooth claim adjudication and timely reimbursements.

Essential Qualifications

To thrive in this role, you should possess the following:

• High School Diploma or GED equivalent.
• Minimum of 1 year of remote call center or customer service experience.
• Proficiency in navigating multiple computer monitors and applications simultaneously (e.g., Salesforce, Word, Excel, Outlook).
• Strong typing skills (minimum 45 WPM) and the ability to work efficiently in a fast‑paced environment.
• Excellent verbal and written communication skills, with a focus on empathy and clarity.
• Experience with dental or other insurance products is highly desirable.
• Prior exposure to a dental office setting is a plus.
• Ability to handle high call volumes while maintaining a calm, professional demeanor.
• Basic understanding of HIPAA and data privacy regulations.

Preferred Qualifications

We value candidates who bring additional expertise and a passion for continuous improvement:

• 2+ years of call center or customer service experience, preferably in the health or dental sector.
• Hands‑on experience with Salesforce or similar CRM platforms.
• Knowledge of dental claim processes, benefit plans, and provider networks.
• Experience in a remote work environment with proven self‑management skills.
• Certification in customer service or a related field.
• Experience with quality assurance tools and metrics reporting.

Core Skills & Competencies

Success at brighthush requires a blend of technical and soft skills:

• Customer‑Centric Mindset: A genuine desire to help members achieve their oral health goals.
• Problem‑Solving: Ability to analyze complex issues and devise effective solutions.
• Communication: Clear, concise, and empathetic communication across all channels.
• Adaptability: Comfortable with evolving processes, technology updates, and changing priorities.
• Team Collaboration: Willingness to work with cross‑functional teams to deliver seamless service.
• Time Management: Prioritizing tasks and meeting deadlines in a remote setting.
• Data Accuracy: Attention to detail when entering information into CRM systems.
• Tech Savviness: Quick learning of new software, tools, and integrations.

Career Growth & Learning Opportunities

At brighthush, we invest in our people. As a Remote Dental Customer Service & Claims Specialist, you will have access to:

• Structured onboarding program with mentorship from senior team members.
• Regular performance reviews and personalized development plans.
• Access to an extensive library of e‑learning courses covering dental industry knowledge, customer service excellence, and leadership skills.
• Opportunities to transition into specialized roles such as Claims Analyst, Provider Relations Specialist, or Customer Experience Manager.
• Annual leadership workshops and virtual networking events.
• Cross‑departmental shadowing and job‑rotation programs to broaden skill sets.

Work Environment & Culture

brighthush’s remote culture is built on trust, flexibility, and community. We provide:

• Fully equipped home office setup delivered to your doorstep.
• Weekly virtual team huddles and monthly town‑hall meetings.
• Open communication channels via Slack, Teams, and email.
• Inclusive policies that celebrate diversity and promote work‑life balance.
• Recognition programs that celebrate individual and team achievements.
• Regular virtual social events, such as game nights, book clubs, and wellness challenges.

Compensation & Benefits

While specific figures may vary based on experience, brighthush offers a competitive base salary complemented by:

• Performance‑based bonuses tied to customer satisfaction and productivity metrics.
• Health, dental, and vision insurance plans with generous coverage options.
• 401(k) retirement plan with company match.
• Paid parental leave and flexible vacation policy.
• Annual wellness stipend and access to virtual fitness and mindfulness programs.
• Continuous learning stipend for professional development courses.
• Employee assistance program (EAP) and mental health resources.

How to Apply

Ready to make a difference in people’s oral health journeys? Click the link below to submit your application and join the brighthush family. We look forward to welcoming you aboard!

Apply to brighthush – Remote Dental Customer Service & Claims Specialist