Job 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!
What you’ll do
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
What you need
Previous experience of 3 years in [TS1] dental adjudication and in a Customer Service role
Ability to handle high stress situations in a fast-paced production environment
Outstanding client service, interpersonal and communication skills to build positive relationships with our clients
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
Dedicated team player with the ability to take the initiative, be independent with a positive attitude and dedication to quality and accuracy
Highly organized, accurate and detail oriented
Well-developed ability to perform mathematical calculations and to see beyond the numbers
What we can offer
Employer Paid Group Benefits Plan including:
Accidental Death & Dismemberment
Long Term Disability (employee paid)
Critical Illness
$1000 Flex Spending account
Opportunity for Growth
Full –Time, Monday to Friday schedule
Paid Vacation and Personal time off
Work life balance
Casual dress
Employee assistance program Schedule:
8-hour shift - Shift schedule could be anywhere from 8 am to 12pm starting time depending on the business need at time of hire.
Monday to Friday
No weekends
Schedule:
8 hour shifts
Monday to Friday
No weekends
Location:
Ayr, Ontario
Salary:
Pay: $50,000 - $52,000 per year