Dental/Health Adjudicator - Health

Position Title:  Dental/Health Adjudicator - Health
Reports To: Manager, Group Dental/Health Claims
Department: Group
Term: Temporary Part-Time, Contract until September 31, 2025 
Schedule: Hours subject to change based on regular/peak season, see below

• Regular: Minimum 15 hours per week
• Peak Season*: Minimum of 30 hours during peak season

*(November, December, January, June, July, August)

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. 

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​​The Opportunity: ​​ We are looking for 1 part-time 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 claims. Now is an exciting time to join one of the Waterloo Area and Southwestern Ontario’s Top Employers for 2024!

​What you will be doing:​ 

• ​​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

​What you will 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: 

• 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)