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Dental Claims Adjudicator

  • Waterloo, ON, Canada

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Job details

Posting language
English
Posted

Original job description

At Equitable, we believe work should be a place where you feel supported, inspired, and empowered to grow. In our caring and collaborative environment, your curiosity is encouraged, your passion is recognized, and your contributions truly matter. Together, we create meaningful impact, for our clients, our communities, and each other.

​​The Opportunity: ​ At Equitable, we believe great things happen when we work together. We’re a Canadian mutual company driven by purpose - putting people first and helping Canadians protect today and prepare for tomorrow. If you’re passionate about making a difference and growing your career in an inclusive and collaborative environment, we’d 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 outcomes.

Join one of the region’s top employers and be part of something that truly makes a difference.

Work 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 requirement.

What you’ll do:

  • Process dental 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, as required
  • Meet and maintain team metrics that include productivity/quality targets

What you’ll bring:

  • 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

What’s in it for you:

  • Career Growth: Regular learning sessions and development opportunities 
  • Total Rewards: Allowance provided in place of vacation pay and benefits 
  • Flexibility: Healthy work-life balance with employee wellness always top of mind, complemented by a “dress for your day” approach 

We’re 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 careers@equitable.ca. We’re happy to help.

If you’re selected to move forward, our Talent Acquisition team will walk you through all the details of our total rewards program, so you know exactly what’s included. This position is open and we are excited to find the right person to join our team. Your 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 policy.

​​Reports To: Manager, Group Dental Claims and Group Claims Support
Department: Group
Term: Temporary Full-Time, Twelve (12) Month Contract

More about this job

Responsibilities

Process dental claims and predeterminations accurately while meeting established service standards and productivity metrics. Collaborate with internal departments and the Investigative Claims Unit to resolve claim situations and identify suspicious activity.

Requirements

Candidates must possess strong organizational, communication, and problem-solving skills with the ability to work in a fast-paced, high-stress environment. The role requires the ability to interpret claim guidelines and work independently with minimal supervision.

Skills

  • Dental claims processing
  • Client service
  • Problem-solving
  • Attention to detail
  • Communication skills
  • Interpersonal skills
  • Multi-tasking
  • Prioritization
  • Time management
  • Analytical skills

Benefits

  • Career growth opportunities
  • Total rewards program
  • Employee wellness support

Visa sponsorship

Not detected in the job text

Categories

  • Finance & Accounting
  • Customer Service & Support
  • Administrative

Keywords

  • Dental Claims
  • Adjudication
  • Group Benefits
  • Claims Processing
  • Insurance
  • Productivity Metrics
  • Quality Assurance
  • Data Entry
  • Customer Service
  • Administrative Support
  • Hybrid Work
  • Financial Services

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