DentalClaimsAuditor

**Job Title: Dental Claims Auditor** **Location:** Mississauga **Employment Type:** Permanent **Reason for Vacancy:** New Headcount **Work Arrangement:** Hybrid, 2 days a week on-site **Department Name:** Fraud, Waste, and Abuse **Pay Type:** Salary **Pay Range:** $58,000 – $63,000 annually Please note that this is a general posting range and offer range will be varied based on relevant experience, qualifications, skills required and location for this role. **About Us** _Express Scripts Canada (ESC) is a leading health benefits management company. Serving over 12 million members, we help insurance carriers, third party administrators, and the public sector optimize the value of health benefits by linking the talent and professional expertise of our people with leading edge information management systems and technology. ESC is a wholly owned subsidiary of Express Scripts Inc., one of the largest pharmacy benefit management (PBM) companies in North America, part of The Cigna Group (NYSE: CI), a global health company. Together, we deliver innovative, cost-effective solutions that improve access, affordability, and health outcomes for Canadians._ **Job Summary:** The role of the Fraud, Waste & Abuse team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant with benefit plan design and professional practice regulations. The Auditor uses their analytical and investigative skills along with their practice and knowledge of provincial benefit coverage to identify trends observed from claim reviews and to ensure that the audit techniques evolve to remain effective in managing risk for ESC customers. **Key Responsibilities** * Perform claim verifications, desk and/or on-site audits for Dental, Vision, Mental Health an