Analyze healthcare claims as a Healthcare Advantages Auditor using dental expertise and investigative skills in a hybrid Mississauga or Montreal position.

Express Scripts Canada seeks an Auditor for its Fraud, Waste, and Abuse department. You will review provider compliance across dental, vision, mental health, and other healthcare benefits. The work combines claim analysis, provider communication, documentation assessment, and audit reporting.

Key Responsibilities:

- Perform claim verifications and desk or on-site audits
- Assess documentation against benefit plans and provincial regulations
- Calculate adjustments correcting claim transactions
- Prepare detailed, unbiased audit reports
- Identify claim trends and recommend risk criteria changes

Requirements:

- Licensed dental assistant or dental hygienist graduate
- Two to five years in a dental office
- Knowledge of dental software, fee codes, and benefits
- Valid driver’s license and Canadian travel availability
- Bilingual French and English communication skills

Apply dental benefits knowledge, critical thinking, and audit skills to protect claim integrity at Express Scripts Canada.

📌 Healthcare Benefits Auditor Dental (Canada)
🏢 Acier AGF
📍 Canada