DentalHealth Adjudicator Dental Claims

The Opportunity: At Equitable we believe great things happen when we work together. Were a Canadian mutual company driven by purpose - putting people first and helping Canadians protect today and prepare for tomorrow. If youre passionate about making a difference and growing your career in an inclusive and collaborative environment wed love to hear from culture is built on care passion and curiosity. We put people above all else strive to be our best and welcome new ideas to deliver positive are looking for a Dental and Health Adjudicator Dental Claims to join our growing team at Equitable. 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 Dental Claims is responsible for processing dental/health one of the regions top employers and be part of something that truly makes a Arrangements: This is a hybrid role. You will work in our office in Waterloo ON a minimum of two (2) assigned consecutive days every other week plus a fifth (5th) assigned day per month. You are welcome to work from the office more than the minimum requirement and there may be some roles that are required to work in our office more than the minimum youll do:Process dental/health claims and predeterminations accurately in a timely manner within established service standards and metrics Identify and resolve claim situations in a timely manner through consultations with a Senior Manager or other departments within the Group divisionWork with the Investigative Claims Unit to identify suspicious claims and alert the departmentContribute to the continuous improvement of business processesAdditional basic tasks within dental/health as youll bring:A flexible schedule with the ability to work additional hours when requiredOutstanding client service skillsHandle high stress situations in a fast-paced production environmentExcellent interpersonal and communication skillsDemonstrate high attention to detailCapable of interpreting and applying claim guidelines while working through ambiguous situationsMust be comfortable working in an environment with quickly changing prioritiesAble to work independently with little supervisionStrong organization multi-tasking prioritization and problem-solving committed to fair pay and an inclusive accessible hiring experience. If you need accommodations or alternative formats at any stage just reach out to us at Were happy to help. If youre selected to move forward our Talent Acquisition team will walk you through all the details of our total rewards program so you know exactly whats included. This position is open and we are excited to find the right person to join our base pay will be based on your skills qualifications experience and education. At Equitable your resume will be reviewed by real people and all hiring decisions are made by our recruiters and hiring managers. AI tools may be used to support administrative and productivity tasks throughout the recruitment process but we believe that evaluating experience skills and talent potential requires meaningful human interaction. As part of our commitment to maintaining a secure and trusted workplace candidates selected to move forward in the recruitment process will be required to complete a background screening in accordance with company To: Manager Group Dental Claims and Group Claims SupportDepartment: Group Term: Temporary Full-Time Twelve (12) Month ContractSchedule: This role requires full-time hours (approximately 37.5 hours per week) from November to April during peak season transitioning to part-time hours (approximately 15-20 hours per week) from May to October.