Dental Fraud Management Lead

2 weeks ago


Old Toronto, Canada Sun Life Financial Full time
Join Sun Life Financial

We are seeking a skilled professional to lead our Dental Fraud Management team. As a key member of our organization, you will play a vital role in identifying and mitigating fraudulent activities within our dental claims process.

About the Role:

The successful candidate will be responsible for leading a team of dental investigators, ensuring the timely completion of audits and investigations, and championing a culture of continuous improvement and innovation. They will also monitor emerging trends in dental care to identify potential risks of misuse or abuse of dental claims.

  • This is a leadership role that requires strong knowledge of dental terminology and expense codes.
  • The ideal candidate will have a minimum of two years experience leading a team focused on fraud and abuse management, criminal investigations, or equivalency.

This position is primarily focused on the Canadian Dental Care Plan (CDCP) and can be based out of Waterloo, Toronto, or Montreal.

Key Responsibilities:
  1. Lead direct reports in executing quality service delivery and support them by providing direction, setting clear expectations, coaching, being available, fostering engagement, and holding individuals accountable for results.
  2. Apply focus to meeting contractual requirements, and the timely completion of dental audits and investigations.
  3. Champion a culture of continuous improvement and innovation to deliver on the ever-evolving expectations of our plan members and plan sponsors, and emerging trends related to fraud and abuse matters.
Requirements:
  • Dental industry expertise attained through experience as a dental professional.
  • University degree or postsecondary education in a related field.
  • Experience working within investigations, audit, or policing.

This is an excellent opportunity to grow your career with Sun Life Financial, one of Canada's leading financial services companies.

Benefits:
  • A competitive salary range of $78,000 - $128,000.
  • A hybrid work environment.
  • A friendly, collaborative, and inclusive culture.
  • 20 vacation days per year.
  • Flexible benefits from the day you join.
  • Pension, stock, and savings programs to help build and enhance your future financial security.
  • The opportunity to move along a variety of career paths with amazing networking potential.
  • Access to our Global Learning Centre, available 24/7 for your learning needs.
  • Wellness programs that support the three pillars of your health – mental, physical, and financial.


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