Healthcare Claims Examiner

1 week ago


Waterloo, Ontario, Canada Equitable Life of Canada Full time

About the Role:

We are seeking a skilled Healthcare Claims Examiner to join our team at Equitable Life of Canada in Waterloo, ON.

Job Summary:

This is a part-time, temporary position requiring a minimum of 15 hours per week, with the possibility of increasing to 30 hours during peak seasons (November, December, January, June, July, August).

The successful candidate will be responsible for processing dental and health claims accurately and efficiently, working closely with the Investigative Claims Unit to identify suspicious claims, and contributing to the continuous improvement of business processes.

Key Responsibilities:

  • Process dental and health claims and predeterminations within established service standards
  • Identify and resolve claim situations through consultations with senior colleagues or other departments
  • Collaborate with the Investigative Claims Unit to identify suspicious claims and alert the department
  • Contribute to the ongoing development and refinement of business processes
  • Perform additional tasks as required

Requirements:

To be successful in this role, you will need:

  • A flexible schedule with the ability to work additional hours when required
  • Outstanding client service skills
  • Excellent interpersonal and communication skills
  • High attention to detail and ability to interpret and apply claim guidelines
  • Ability to work independently with minimal supervision
  • Strong organizational, prioritization, and problem-solving skills

What We Offer:

As a valued member of our team, you can expect:

  • A competitive hourly rate ($25-$35/hour)
  • A healthy work-life balance with employee wellness top of mind
  • Opportunities for professional growth and development
  • An inclusive and supportive work environment
  • Access to on-site amenities and resources

About Us:

At Equitable Life of Canada, we are committed to providing equal access to employment opportunities across our organization. If you would like to receive our job postings in an alternative format or require an accommodation with the application process, please contact our HR team.



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