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 re...