Medical Adjudicator jobs in Ontario

At Equitable, we believe work should be a place where you feel supported, inspired, and empowered to grow. In our caring and collaborative environment, your curiosity is encouraged, your passion is recognized, and your contributions truly matter. Together, we create meaningful impact, for our clients, our communities, and each other.

The Opportunity: At Equitable, we believe great things happen when we work together. We’re a Canadian mutual company driven by purpose - putting people first and helping Canadians protect today and prepare for tomorrow. If you’re passionate about making a difference and growing your career in an inclusive and collaborative environment, we’d love to hear from you. Our culture is built on care, passion and curiosity. We put people above all else, strive to be our best and welcome new ideas to deliver positive outcomes.

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. The Dental/Health Claims Adjudicator is responsible for processing dental/health claims.

Join one of the region’s top employers and be part of something that truly makes a difference.

We're excited to host a hiring event for this opportunity. Candidates selected to move forward after the application review process will be invited to attend on August 27, 2026. During the event, they'll have the chance to interview with our team, learn more about the role and culture, and participate in an accelerated hiring process.

Work Arrangements: This is a hybrid role. You will work in our office in Waterloo, ON a minimum of two (2) assigned, consecutive days every other week, plus a fifth (5th) assigned day per month. You are welcome to work from the office more than the minimum requirement, and there may be some roles that are required to work in our office more than the minimum requirement.

What you’ll do:

• Process dental/health claims and predeterminations accurately in a timely manner within established service standards
• Identify and resolve claim situations in a timely manner, through consultations with a Senior, Manager, or other departments within the Group division
• Work with the Investigative Claims Unit to identify suspicious claims and alert the department
• Contribute to the continuous improvement of business processes
• Additional basic tasks within dental/health, as required.

What you’ll bring:

• A flexible schedule with the ability to work additional hours when required
• Outstanding client service skills
• Handle high stress situations in a fast-paced production environment
• Excellent interpersonal and communication skills
• Demonstrate high attention to detail
• Capable of interpreting and applying claim guidelines while working through ambiguous situations
• Must be comfortable working in an environment with quickly changing priorities
• Able to work independently with little supervision
• Strong organization, multi-tasking, prioritization, and problem-solving skills.

What’s in it for you:

• Career Growth: Regular learning sessions and development opportunities
• Total Rewards: Allowance provided in place of vacation pay and benefits
• Flexibility: Healthy work-life balance with employee wellness always top of mind, complemented by a “dress for your day” approach

At Equitable, we’re committed to fair pay and an inclusive, accessible hiring experience. If you need accommodations or alternative formats at any stage, just reach out to us at careers@equitable.ca. We’re happy to help.

Your base pay will be based on your skills, qualifications, experience and education. In addition to your salary, this role is eligible for a discretionary annual incentive award tied to business performance, plus a wide range of competitive benefits.

If you’re selected to move forward, our Talent Acquisition team will walk you through all the details of our total rewards program, so you know exactly what’s included.

Reports To: Manager, Group Health Claims
Department: Group
Term: Temporary Full-Time, Twelve (12) Month Contract
Start Date: September 28, 2026 (please note: a four-week training program will be required upon completion of our Equitable Orientation program)
Interviews: Interviews will take place on August 27, 2026 at our head office in Waterloo, ON.

This position is open and we are excited to find the right person to join our team.

As part of the recruitment process, you will need to go through background screening, as per our company policy.

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