Dental Claims

3 weeks ago


Canada Compunnel Inc. Full time

Story Behind the Need

• Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business.

• Project: The candidate will assist with Business As Usual (BAU) activities. The group is transitioning from a legacy system to a cloud-based system and requires additional resources to process health and dental claims.


Candidate Value Proposition

• The successful candidate will have opportunities for growth and the potential to transition into a permanent role. They will gain valuable insights into how group benefits work, this position can lead to other opportunities where in business analysis and customer service acumen can be developed further.


Typical Day in Role

The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for completeness, enters, and assesses claims, and produces the final statement and/or payment responsibility, after the member's insurance benefits are applied to a claim.


• Outline all daily duties, responsibilities, tasks, and accountabilities

• Assesses highly complex health/dental claims in keeping with contract provisions, taking initiative and ensuring that empowered decision making is a key component of the process.

• Assume ownership of the claims assigned with an understanding of the urgency of specific cases and effectively prioritize work accordingly.

• Establish and maintain quality customer service within our turnaround times using influence with internal and external clients to meet all pre-established service standards in order to delight our customers..

• Commitment to Financial Efficiency and Continuous Improvement targets, as required

• Commitment to improving NPS (customer) scores based on overall goals

Supporting the Business:

• Sound knowledge and ability to apply appropriate risk management tools and techniques.

• Actively participate in various projects that improve effectiveness and efficiency in claims practices in keeping with our culture of continuous improvement.

• Manage all issues and requirements related to the claim to achieve customer/claim resolution handing off only as appropriate.(claims adjustments, warranty investigation, technical decisions)


Candidate Requirements/Must Have Skills:

1) Exceptional Communication Skills: Proficient in both verbal and written communication for diverse internal and external audiences.

2) Proficiency in Microsoft Office 365: Strong working knowledge of the Office 365 suite of programs.

3)Detail-Oriented with Quick Assessment Skills: This role requires a keen eye for detail, as it involves reviewing receipts, extracting data, and accurately inputting information into the system. An analytical mindset is essential to understand and make decisions based on the information presented.

4) Team and Individual Effectiveness: Proven ability to work effectively both independently and as part of a team in a fast-paced environment.


Soft Skills

• Strong customer service focus

• Ability to take initiative

• Excellent interpersonal skills and the ability to interact and work with others at all levels to achieve customer resolution


Nice-To-Have Skills:

- Bilingual English/French is an asset

- Previous claims adjudication and/or relevant insurance or health care industry experience a definite asset**

- Previous call center and/or data processing experience an asset**


Education:

Post-secondary education preferred or equivalent experience


  • Dental Claims

    3 weeks ago


    Canada Compunnel Inc. Full time

    Story Behind the Need • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate will assist with Business As Usual (BAU) activities. The group is transitioning from a legacy system to a...

  • Dental Claims

    3 weeks ago


    Canada Compunnel Inc. Full time

    Story Behind the Need• Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business.• Project: The candidate will assist with Business As Usual (BAU) activities. The group is transitioning from a legacy system to a cloud-based...

  • Dental Claims

    3 weeks ago


    Canada Compunnel Inc. Full time

    Story Behind the Need • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate will assist with Business As Usual (BAU) activities. The group is transitioning from a legacy system to a...

  • Dental Claims

    3 weeks ago


    Canada Compunnel Inc. Full time

    Story Behind the Need • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate will assist with Business As Usual (BAU) activities. The group is transitioning from a legacy system to a...

  • Dental Claims

    3 weeks ago


    Canada, CA Compunnel Inc. Full time

    Story Behind the Need• Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business.• Project: The candidate will assist with Business As Usual (BAU) activities. The group is transitioning from a legacy system to a cloud-based...

  • Dental Claims

    3 weeks ago


    Canada Compunnel Inc. Full time

    Story Behind the Need• Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business.• Project: The candidate will assist with Business As Usual (BAU) activities. The group is transitioning from a legacy system to a cloud-based...

  • Dental Claims

    3 weeks ago


    Canada Compunnel Inc. Full time

    Story Behind the Need• Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business.• Project: The candidate will assist with Business As Usual (BAU) activities. The group is transitioning from a legacy system to a cloud-based...

  • Claims Adjudicator

    3 weeks ago


    Canada Infotek Consulting Services Inc. Full time

    Infotek Consulting is searching for several Group Benefits Claims Adjudicators - this is a REMOTE contract assignment - must work on EST • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate...

  • Claims Adjudicator

    3 weeks ago


    Canada Infotek Consulting Services Inc. Full time

    Infotek Consulting is searching for several Group Benefits Claims Adjudicators - this is a REMOTE contract assignment - must work on EST • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate...

  • Claims Adjudicator

    3 weeks ago


    Canada Infotek Consulting Services Inc. Full time

    Infotek Consulting is searching for several Group Benefits Claims Adjudicators - this is a REMOTE contract assignment - must work on EST • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate...

  • Claims Adjudicator

    3 weeks ago


    Canada, CA Infotek Consulting Services Inc. Full time

    Infotek Consulting is searching for several Group Benefits Claims Adjudicators - this is a REMOTE contract assignment - must work on EST • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate...

  • Claims Adjudicator

    3 weeks ago


    Canada Infotek Consulting Services Inc. Full time

    Infotek Consulting is searching for several Group Benefits Claims Adjudicators - this is a REMOTE contract assignment - must work on EST • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate...

  • Claims Adjudicator

    3 weeks ago


    Canada Compunnel Inc. Full time

    We are hiring a Claims Adjudicator for our client in the insurance industry.Job Requirements:• Post-secondary education or equivalent experience• Strong customer service focus and the ability to take the initiative• Previous claims adjudication and/or relevant insurance or health care industry experience a definite asset• Strong working knowledge of...


  • Canada Infotek Consulting Services Inc. Full time

    Infotek Consulting is searching for several Group Benefits Claims Adjudicators - this is a REMOTE contract assignment - must work on EST • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The...


  • Canada, CA Dental Corp Part time

    Patient Care Coordinator - Wembley DentalApply to locations: Parksville, British ColumbiaTime type: Part timePosted on: Posted YesterdayJob requisition ID: JR14107About us:Welcome to Wembley Dental in Parksville, British Columbia! We are a dedicated team committed to providing exceptional dental care in a friendly environment. We value a supportive and...

  • Claims Adjudicator

    3 weeks ago


    Canada Compunnel Inc. Full time

    We are hiring a Claims Adjudicator for our client in the insurance industry. Job Requirements: • Post-secondary education or equivalent experience • Strong customer service focus and the ability to take the initiative • Previous claims adjudication and/or relevant insurance or health care industry experience a definite asset • Strong working...

  • Claims Adjudicator

    3 weeks ago


    Canada Compunnel Inc. Full time

    DetailsRequisition Title: Claims AdjudicatorLocation: Fully RemoteTypical Day in RoleThe Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount...

  • Claims Adjuster

    3 weeks ago


    Canada Compunnel Inc. Full time

    Duration: 06 Months (with a possibility of extension)Client Domain: InsuranceThe Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of...

  • Claims Adjuster

    3 weeks ago


    Canada Compunnel Inc. Full time

    Duration: 06 Months (with a possibility of extension)Client Domain: InsuranceThe Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of...

  • Claims Adjuster

    3 weeks ago


    Canada, CA Compunnel Inc. Full time

    Duration: 06 Months (with a possibility of extension)Client Domain: InsuranceThe Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of...