Dental Claims Auditor - Express Scripts Canada (Mississauga)

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 Type: Salary – $58,000 to $63,000 annually (based on experience, qualifications, and location)

Job Overview

The Dental Claims Auditor conducts audits across Canada to ensure providers comply with benefit plan designs and professional practice regulations. The role involves desk and on‑site audits for Dental, Vision, Mental Health, and other healthcare benefits, performs claim verifications, and identifies trends to enhance risk management strategies.

Key Responsibilities

• Perform claim verifications, desk and/or on‑site audits for Dental, Vision, Mental Health, and other healthcare benefits
• Communicate with providers to gather audit information and educate them on claim submission practices
• Assess provider documentation for c...