Dental/Health Adjudicator
- Waterloo, ON
- Temporaire
- Temps-plein
Reports To: Manager, Group Health Claims
Department: Group
Term: Temporary Full-Time, Contract until May 31, 2027Work 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: At Equitable, our focus is on making a meaningful impact in the lives of Canadians by putting clients at the heart of everything we do. We lead with empathy, act with intention, stay curious, and support one another every step of the way.If you're looking for purpose-driven work in a collaborative and inclusive environment where your voice is heard, and your growth is encouraged we’d love to connect.We are looking for a 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.Join one of the Waterloo Area’s Top Employers for 2025 and Southwestern Ontario’s Top Employers for 2024 and be part of something that matters.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
- 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
- A workplace where care, passion, and curiosity aren’t just values, they’re how we work, grow, and succeed together every day.
- 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
- Provide two professional references (minimum one supervisor and above)