Dental/Health Adjudicator

Position Title:​ ​Dental/Health Adjudicator
​Reports To: Manager, Group Health Claims
Department: Group Health and Dental Claims
Term: Temporary Full-Time, Contract until December 31, 2025

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.


The Opportunity: ​​ We are looking for a Dental/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 Health Claims Adjudicator is responsible for processing health claims. Now is an exciting time to join one of the Waterloo Area's Top Employers for 2025 and Southwestern Ontario's Top Employers for 2024!

 
​What you will be doing:​ 

• ​​Process claims and estimates 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 Group.
• Work with the Investigative Claims Unit team to identify suspicious claims and alert the department of the findings.
• Contribute to the continuous improvement of business processes.
• Additional basic tasks within Health as team requires. 

 
​What you will bring:​ 

• ​​Candidates with previous dental/health claims adjudication experience required.
• Outstanding client service skills.
• An ability to handle high stress situations in a fast-paced production environment.
• Excellent interpersonal and communication skills.
• Demonstrate high attention to detail.
• An ability to interpret and apply a subset of contract provisions and administrative guidelines, comfortable working through ambiguous situations.
• Must be comfortable working in an environment with quickly changing priorities.
• An ability to work independently with little supervision.
• Strong organization, multi-tasking, prioritization, and problem-solving skills.​ 

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  What’s in it for you: 

• A healthy work-life balance with employee wellness top of mind
• We value open, honest communication between team members, challenging each other to continually improve
• 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

As part of the recruitment/offer process you will be required to:​ 

• Provide two professional references (minimum one supervisor and above) 

This role is open due to an existing vacancy.

To learn more about Equitable, we encourage you to explore our organization.

At Equitable, we are committed to providing equal access to employment opportunities across our organization. Please contact our HR team at careers@equitable.ca if you would like to receive our job postings in an alternative format or require an accommodation with the application process.

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