About

Dental Claims Specialist — Remote

Are you ready to take your dental knowledge beyond the clinic? Our client, a leader in the insurance industry, is seeking skilled professionals to assess and process complex dental claims. This role offers a unique opportunity to apply your expertise in a dynamic, fast-paced environment where attention to detail and analytical skills make a real impact. Whether you are looking for full-time or part-time work, this contract position provides flexibility while allowing you to contribute to a vital industry.

What is in it for you:

• Unilingual Position: $28–$31 per hour (based on experience).
• Bilingual Position: $32–$34 per hour (based on experience).
• Job Type: 5-month contract – Full-time or Part-time.
• Number of Openings: 30 positions available.
• Location: Montréal, Ottawa, Toronto, Waterloo.
• Work Arrangement: Remote or hybrid, depending on the candidate’s preference.
• Hours: Regular business hours – 37.5 hours per week.

Responsibilities:

• Review complex dental claims and estimates for completeness, ensuring all required information is provided.
• Assess and adjudicate complex claims and estimates based on dental information, plan provisions, and supporting documentation.
• Analyze dental x-rays and claims, documenting findings and communicating with clients (members/sponsors) to obtain additional details.
• Meet established production, quality, and service standards.
• Handle internal and external inquiries via written correspondence, email, and phone as required.
• Collaborate with the Dental Consultant on complex cases and coordinate with other departments to meet customer expectations.
• Participate in departmental projects as needed.

What you will need to succeed:

• Diploma in Dental Hygiene (CEGEP/College or University).
• Experience working in a dental clinic.
• Strong knowledge of group insurance and dental claims.
• Customer service-oriented with excellent communication skills.
• Strong problem-solving and decision-making skills.
• Self-motivated and team-oriented, with the ability to adapt to a changing environment.
• Open to giving and receiving feedback.
• Bilingual in English and French for the frequent interactions with English and French-speaking colleagues or internal partners across Canada and worldwide (preferred).
• Excellent written and verbal communication skills.

Why Recruit Action?

Recruit Action (agency permit: AP-2000003) provides recruitment services through quality support and a personalized approach to job seekers and businesses. Only candidates who match hiring criteria will be contacted.

# SLFJP00005338

Job Types: Full-time, Fixed term contract
Contract length: 6 months

Pay: $28.00-$34.00 per hour

Benefits:

• Work from home

Schedule:

• 8 hour shift
• Day shift

Application question(s):

• Are you comfortable working hybrid or remote?

Experience:

• Working in a dental clinic: 1 year (required)

Language:

• French (preferred)

Licence/Certification:

• Diploma in Dental Hygiene (required)

Work Location: Hybrid remote in Toronto, ON M4W 1E5