Dental/health Adjudicator Level 1

2 weeks ago


Waterloo, Canada Equitable Life of Canada Full time

At Equitable Life of Canada, we realize that your work life is not just about performing a job; it's about being part of a workplace that helps you grow and reach your full potential. Within our friendly and collaborative work environment, we recognize that the key to our growth and success is a dedicated, motivated and customer-responsive staff. Join Equitable Life today.

**Position Title**: Dental/Health Adjudicator

**Reports To**: Manager, Group Dental/Health Claims

**Department**: Group Dental/Health Claims

**Term**: Temporary Part Time - 1 year contract

**Start Date**: September 5, 2023

**Work Arrangements**: We are currently working remotely, and we will be moving to a hybrid model when our office renovation is complete (approximately November 2023), coming into the office a minimum of 2 days per week, every other week on designated days.

**The Opportunity**: We are looking for 4 part time dental and health adjudicators to join our growing team at Equitable Life of Canada. This is a great opportunity for someone looking for a career that involves providing excellent client service in group benefits. The Dental/Health Claims Adjudicator is responsible for processing dental/health claims.

**What you will be doing**:

- Process dental/health claims and predeterminations accurately in a timely manner within established service standards
- 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

**What you will bring**:

- Outstanding client service skills
- handle high stress situations in a fast-paced production environment
- A flexible schedule with the ability to work additional hours when required
- Excellent interpersonal and communication skills
- Demonstrate high attention to detail
- Must be comfortable working in an environment with quickly changing priorities
- Able to work independently with little supervision
- Strong organization, multi-tasking, prioritization, and problem-solving skills

**What’s in it for you**:

- A healthy work-life balance with employee wellness top of mind
- A company who values open, honest communication between team members, challenging each other to continually improve
- Employee resource groups that support an inclusive work environment
- A company subsidized cafeteria with a variety of daily options
- Regular EQ Together events focused on company togetherness and collaboration

As part of the recruitment/offer process you will be required to provide two professional references (minimum one supervisor and above).

To learn more about Equitable Life, we encourage you to explore our organization.



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