Dental Claims Auditor - Express Scripts Canada

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...