Dental/Health Adjudicator
Equitable is focused on making a meaningful impact in the lives of Canadians by putting clients at the heart of everything they do. They are seeking a Dental/Health Adjudicator responsible for processing dental and health claims, ensuring accuracy and timeliness while providing excellent client service.
Responsibilities
- Process dental/health claims and predeterminations accurately in a timely manner within established service standards
- Identify and resolve claim situations in a timely manner, through consultations with a Senior, Manager, or other departments within the Group division
- Work with the Investigative Claims Unit to identify suspicious claims and alert the department
- Contribute to the continuous improvement of business processes
- Additional basic tasks within dental/health, as required
Skills
- A flexible schedule with the ability to work additional hours when required
- Outstanding client service skills
- Handle high stress situations in a fast-paced production environment
- Excellent interpersonal and communication skills
- Demonstrate high attention to detail
- Capable of interpreting and applying claim guidelines while working through ambiguous situations
- Must be comfortable working in an environment with quickly changing priorities
- Able to work independently with little supervision
- Strong organization, multi-tasking, prioritization, and problem-solving skills
Benefits
- A healthy work-life balance with employee wellness top of mind
- 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
Company Overview