Position requires advanced knowledge of the insurance industry, dental terminology, procedures, and dental insurance products; ability to use data extraction and analytic tools, word processing, spreadsheet, and presentation software skills; strong verbal and written communication skills, strong organizational and analytical skills; the ability to lead multiple teams; the ability to interpret contract language related to fraud, waste, and abuse and claims processing; the ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment. Acts as a resource for staff and manages and maintains relationships with internal departments, committees, affiliates, and other various external customers to provide dental expertise and/or interpretation of dental policies, procedure codes and processing guidelines in the areas of SIU claims adjudication, fraud, waste, and abuse activities, including audits and investigations and data research and review.