Dental Adjudicator at Simply Benefits
Ayr, ON, Canada -
Full Time


Start Date

Immediate

Expiry Date

19 Nov, 25

Salary

47000.0

Posted On

19 Aug, 25

Experience

1 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Good communication skills

Industry

Hospital/Health Care

Description

WHO WE ARE:

We’re a Kelowna based Third Party Administrator/Payor (TPA/TPP) improving the health benefits experience for employers, insurers and, well, everybody! Our team leverages digital-focused strategies to provide members with fast, easy and thoughtful benefits experiences. To put it simply, we provide group benefits plans, but we’re a technology company first. Our team embraces autonomy, complexity and a connection between effort and reward as three qualities that foster a truly satisfying career and strive to separate ourselves from the corporate herd.

WHAT WE’RE LOOKING FOR:

We’re looking for a dynamic Dental Adjudicator with a minimum of 1 year experience in dental claims adjudication to work as part of our Customer Support team!

Responsibilities

The Dental Adjudicator will provide excellent customer service to our clients. This will include but is not limited to:

  • Process dental claims and predeterminations accurately in a timely manner within established service standards
  • Answer phone calls and assist members and providers with claim/coverage inquiries
  • Identify and resolve claim situations in a timely manner
  • Contribute to the continuous improvement of business processes
  • Additional basic tasks within dental as required
  • Assist colleagues and members with claim inquiries
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