Operations Assistant Manager, Health and Dental Claims - Waterloo

+The Operations Manager Health & Dental Claims is responsible for leading medium-sized operations teams through supervisors and/or professional staff. · +Translate business priorities into team plans workflows and resource allocation. · Provide full supervisory leadership includi ...

Department: Health and Dental Claims · Role: Customer Service Rep. · Why RWAM? · Are you looking to work with a dedicated team of professionals making a difference in the lives of employers and employees every day? This position will be based at our head office in the rapidly gro ...

We are looking for a 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. · Process dental/health claims and predeterminations accurate ...

The Claims Verification Analyst supports health and dental claims fraud risk controls by authenticating claim submissions, identifying issues for action and resolution, and escalating key control issues to the claims risk management team. · Reviews audit evidence submissions by p ...

The Group Benefits Technical Services, Health and Dental Claims Team is looking for an analytical self-starter to join their team as a Drug Technical Claims Consultant on a regular full-time basis. · Ensure that Drug Claims are handled in accordance with contractual policy provis ...

The Group Benefits Technical Services, Health and Dental Claims Team, is looking for an analytical, self-starter to join their team as a Drug Technical Claims Consultant on a regular full-time basis. Reporting to the Manager, Health and Dental Claims Operations, the Drug Technica ...

The Claims Verification Analyst supports health and dental claims fraud risk controls by authenticating claim submissions, · identifying issues for action and resolution, escalating key control issues to the claims risk management team, · conducting audits through reviewing recei ...

The Group Benefits Technical Services Health and Dental Claims Team is looking for an analytical self-starter to join their team as a Drug Technical Claims Consultant on a regular full-time basis.Reporting to the Manager Health and Dental Claims Operations the Drug Technical Clai ...

The Claims Verification Analyst is responsible for supporting health and dental claims fraud risk controls by authenticating claim submissions, identifying, and investigating issues for action and resolution, · and escalating key control issues to the claims risk management team. ...

Job summary · We are looking for a detail-oriented and analytical Claims History Specialist to join our Claims team. In this role, you will ensure accurate and timely continuity of claims data—including drug history, DIN exceptions ,and prior authorization statuses—to protect mem ...

The Investigation Analyst role involves managing ongoing risk management priorities, preventing and investigating fraud and abuse related to plan members in the Canadian Healthcare environment. The position requires analytical skills, investigative expertise, customer focus, · an ...

The Investigation Analyst leverages analytical skills, investigative expertise, customer focus, and knowledge of the Canadian Healthcare environment to manage ongoing risk management priorities. · ...

The OTIP Group of Companies (OGC) believes that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization: they bring their best to work every day. · ...

At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization: they bring their best to work every day. · ...

Join us as we grow our way into a future that reimagines what it means to deliver meaningful benefits support and service. · ...

+ This Vice President will execute a multi-year strategy that integrates group insurance expansion and innovative health service delivery. · ...

You will play a key role in ensuring effective digital imaging data lifting and key completion of documents by scanning and indexing documents correctly efficiently. · As the last person to work with the physical document you will ensure effective data lift and key completion by ...

Manulife's Group Benefits Health and Dental Claims Risk Management team focuses on digital claims risk management, fraud investigations, and data analytics to support key operational objectives. The Investigation Analyst – Provider Risk plays a crucial role in preventing, detecti ...

Summary  · The role of the Appraiser/Estimator is to provide a detailed estimate to repair a vehicle post collision. The estimator is responsible to many stakeholders. The estimator must have a professional demeanor to work with customers, insurers, vendors, and other team member ...

Summary · The role of the Appraiser/Estimator is to provide a detailed estimate to repair a vehicle post collision. The estimator is responsible to many stakeholders. The estimator must have a professional demeanor to work with customers, insurers, vendors, and other team members ...