• Assess and adjudicate complex claims and estimates
• Assessing includes studying dental information and plan provisions, researching, documenting results and communicating verbally and or in writing with the client (member/sponsor) to obtain additional details in order to make an informed decision
• Meet production and quality standards set for individuals, teams and department (timeliness, quality and service)
• Handle external and internal inquiries via written correspondence, e-mails and telephone as required
• Participate in departmental projects as required
• Work in conjunction with the Dental Consultant on contentious cases, and with other departments/offices within the company in order to meet customer expectations

• Diploma in Dental Hygiene (CEGEP/College or University)
• Experience working in a dental clinic
• Strong knowledge of Group Insurance - Dental claims
• Customer service oriented
• Excellent communication skills both verbal and written
• Excellent problem-solving skills
• Self-motivated
• Team oriented
• Ability to work in a changing environment
• Strong decision-making skills
• Open to receiving and giving feedback
• Bilingualism (French, English, both oral and written) is required for the frequent interactions with English and French-speaking colleagues or internal partners across Canada and worldwide

What you need to do now

If you're interested in this role, click 'apply now' to forward an up-to-date copy of your CV, or call us now.

If this job isn't quite right for you, but you are looking for a new position, please contact us for a confidential discussion on your career.