Dental Claims Examiner

1 month ago


Waterloo, Ontario, Canada Equitable Life of Canada Full time

Job Title: Dental/Health Adjudicator

Job Summary:

We are seeking a highly skilled Dental/Health Adjudicator to join our team at Equitable Life of Canada. As a key member of our Group division, you will be responsible for processing dental/health claims and providing excellent client service.

Key Responsibilities:

  • Process dental/health claims and predeterminations accurately and efficiently
  • Identify and resolve claim situations through consultations with senior staff or other departments
  • Work with the Investigative Claims Unit to identify suspicious claims and alert the department
  • Contribute to the continuous improvement of business processes
  • Perform additional tasks as required

Requirements:

  • Flexible schedule with ability to work additional hours when required
  • Outstanding client service skills
  • Ability to handle high stress situations in a fast-paced production environment
  • Excellent interpersonal and communication skills
  • High attention to detail
  • Ability to interpret and apply claim guidelines in ambiguous situations
  • Comfortable working in an environment with quickly changing priorities
  • Able to work independently with minimal supervision
  • Strong organization, multi-tasking, prioritization, and problem-solving skills

What We Offer:

  • A healthy work-life balance with employee wellness top of mind
  • Open, honest communication between team members
  • Employee resource groups that support an inclusive work environment
  • An onsite, full-service cafeteria with a variety of daily options
  • Regular EQ Together events focused on company togetherness and collaboration

How to Apply:

Please submit your application, including two professional references, to our HR team.



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