Dental/Health Adjudicator - Dental Claims (Ontario)

Dental/Health Adjudicator - Dental Claims (Ontario)

05 Oct
|
Equitable-C
|
Ontario

05 Oct

Equitable-C

Ontario

We’re a Canadian mutual company driven by purpose - putting people first and helping Canadians protect today and prepare for tomorrow. Our culture is built on care, passion and curiosity. We are looking for a Dental and Health Adjudicator – Dental Claims to join our growing team at Equitable.

The Dental/Health Claims Adjudicator – Dental Claims is responsible for processing dental/health claims. You will work in our office in Waterloo, ON a minimum of two (2) assigned, consecutive days every other week, plus a fifth (5th) assigned day per month. You are welcome to work from the office more than the minimum requirement and there may be some roles that are required to work in our office more than the minimum requirement.

Process dental/health claims and predeterminations accurately in a timely manner within established service standards and metrics Identify and resolve claim situations in a timely manner, through consultations with a Senior, Manager, or other departments within the Group division Work with the Investigative Claims Unit to identify suspicious claims and alert the department Contribute to the continuous improvement of business processes Additional basic tasks within dental/health, as required.



A flexible schedule with the ability to work additional hours when required Capable of interpreting and applying claim guidelines while working through ambiguous situations Able to work independently with little supervision If you need accommodations or alternative formats at any stage, just reach out to us at [email protected]’re happy to help. AI tools may be used to support administrative and productivity tasks throughout the recruitment process, but we believe that evaluating experience, skills, and talent potential requires meaningful human interaction.

As part of our commitment to maintaining a secure and trusted workplace, candidates selected to move forward in the recruitment process will be required to complete a background screening in accordance with company policy. Manager, Group Dental Claims and Group Claims Support Temporary Full time, Twelve (12) Month Contract This role requires full-time hours (approximately 37.5 hours per week) from November to April during peak season, transitioning to part-time hours (approximately 15-20 hours per week) from May to October. #

📌 Dental/Health Adjudicator - Dental Claims (Ontario)
🏢 Equitable-C
📍 Ontario

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