DentalHealth Adjudicator

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 you. Our 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 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 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 standardsIdentify 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 in it for you:Career Growth: Regular learning sessions and developmentopportunitiesTotal Rewards: Incentive pay annual salary reviews employer-paid benefits and pensionmatchingTime Away: Competitive vacation plus one paid volunteer day each yearFlexibility: Healthy work-life balance with employee wellness always top of mind complemented by a dress for your day approachAt Equitable were 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 base pay will be based on your skills qualifications experience and addition to your salary this role is eligible for a discretionary annual incentive award tied to business performance plus a wide range of competitive benefits. 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 To: Manager Group Health ClaimsDepartment: GroupTerm: Permanent Full-Time