Dental Claims Auditor - Express Scripts Canada
C
CA2 ESI Canada
📍 mississauga, on, Canada
Job Description
Job Title
Dental Claims Auditor Location
Mississauga Employment Type
Permanent Work Arrangement
Hybrid – 2 days a week on-site Department
Fraud, Waste, and Abuse Pay
$58,000 – $63,000 annually (salary) Job Summary
The Dental Claims Auditor conducts audits across Canada to ensure providers comply with benefit plan design and regulations, identifies trends from claim reviews, and recommends improvements to risk criteria. The role requires analytical and investigative skills, strong communication, and the ability to operate independently while maintaining high data integrity. Key Responsibilities
Perform claim verifications, desk and/or on‑site audits for Dental, Vision, Mental Health and other health benefits. Communicate with providers to gather information for audits, educate on claim submission practices, and respond to queries regarding audit results. Assess provider documentation to ensure compliance with enroll...
Dental Claims Auditor Location
Mississauga Employment Type
Permanent Work Arrangement
Hybrid – 2 days a week on-site Department
Fraud, Waste, and Abuse Pay
$58,000 – $63,000 annually (salary) Job Summary
The Dental Claims Auditor conducts audits across Canada to ensure providers comply with benefit plan design and regulations, identifies trends from claim reviews, and recommends improvements to risk criteria. The role requires analytical and investigative skills, strong communication, and the ability to operate independently while maintaining high data integrity. Key Responsibilities
Perform claim verifications, desk and/or on‑site audits for Dental, Vision, Mental Health and other health benefits. Communicate with providers to gather information for audits, educate on claim submission practices, and respond to queries regarding audit results. Assess provider documentation to ensure compliance with enroll...