Call Centre Operations - Account Service Representative

Accerta; Toronto; Hybrid; CAD 47,000 - 51,000; Full time

Benefits offered by this job

Group Benefits

Growth Opportunities: promotion from内部

Employee Referral Reward

Job summary

Accerta is seeking a fixed-term (6 months) Account Service Representative to support account service operations and dental plan design activities. You will enter and adjudicate applications and claims, and maintain confidentiality across all information in a fast-paced hybrid Toronto environment.

The role emphasizes accuracy, efficient processing, and strong customer relationships with stakeholders, while adapting to evolving technology and procedures.

Qualifications

• Minimum 1 to 2 years dental benefit industry experience.
• Secondary Diploma or equivalent required; CDA/RDH or equivalent.
• Ability to process a high volume of work items in a fast-paced environment accurately and efficiently.
• Strong oral and written communication skills; data processing accuracy.

Responsibilities

• Enter and adjudicate applications, claims, and predeterminations.
• Contact external parties to obtain missing information.
• Process corrections for various work items.
• Maintain eligibility database.
• Protect confidentiality and privacy of information.
• Maintain high accuracy in all transactions.
• Assist with adjudication system testing for accurate dental claim payments.
• Other duties as assigned.

Skills

High-volume processing

Strong communication

Analytical skills

Pressure management

Adaptability

MS Office proficiency

Data entry accuracy

Education

Secondary Diploma or equivalent

Certified Dental Assistant or Registered Dental Hygienist

Tools

Microsoft Word

Microsoft Excel

Microsoft Teams

PowerPoint

Job description

WHO WE ARE

AccertaClaim Servicorp Inc. (ACSI) and its subsidiary, Accerta Services Inc. (ASI), both known as Accerta, which is a is a social enterprise, that manages dental, vision, drug, and healthcare benefits programs exclusively for government and social services agencies in Canada. Our targeted experience and innovative technology provide reliable service, process continuity, cost savings, as well as accurate and insightful data that enables governments to make informed strategic decisions, reducing stress on the healthcare system through streamlined administration.

Accerta is a Certified B Corporation which is a testament to the values on which we’ve built our business: serving our customers, caring for our employees, and supporting our community and the environment. Being part of the B Corp movement means we’re committed to continual improvement and making business a force for good. Thank you to our team and stakeholders who have helped us achieve this significant milestone!

JOB TITLE: Account Service Representative

EMPLOYMENT TYPE: Fixed Term Contract, six (6) months, Hybrid

ABOUT THIS OPPORTUNITY

Accerta is seeking a fixed term (6 months) Account Service Representative who will play a key role in maintaining strong customer relationships by delivering exemplary service to all stakeholders. In this role, the successful candidate will support account service operations and assist with Dental Plan Design activities.

The position also involves entering and adjudicating applications and claims in accordance with departmental policies and procedures, while ensuring accuracy, efficiency, and high service standards across all account service functions.

ACCOUNTABILITIES

• Enter and adjudicate applications, claims, and predeterminations.
• Contact external parties to obtain additional or missing information
• Process corrections for various work items
• Maintain eligibility database where necessary
• Maintain and protect the confidentiality and privacy of all information.
• Maintain a high level of accuracy in all transactions.
• Assist with the adjudication system testing to ensure the accurate payment of dental claims and predeterminations
• Other duties as assigned

QUALIFICATIONS

• Minimum 1 to 2 years dental benefit industry experience
• Secondary Diploma or equivalent required Certified Dental Assistant, Registered Dental Hygienist, or equivalent
• The ability to process a high volume of work items in a fast-paced environment accurately and efficiently Strong oral and written communication skills Logic and analytical skills to solve problems Ability to cope with pressure and deadlines
• Strong computer skills and proficiency with Microsoft Office including Word, Excel, Teams, and PowerPoint Accurate data processing ability and knowledge of dental procedures code The ability to adapt to changing technology, clients, and processes.
• The ability to adapt to changing technology, clients, and processes. Strong, clear, and concise written and verbal communication skills. Interpersonal and communication skills to work effectively with all levels of staff.

ANNUAL SALARY: $46,501 to $50,780

WHAT WE OFFER

• Group Benefits: Contract employee plan coverage begins on the employee's first day.
• Growth Opportunities: In a company that promotes from within.
• Employee Referral Reward: Employees can earn a $1,500 reward for successful referrals of other employees.

FLEXIBLE WORK ARRANGEMENT

Employees are expected to work on-site at least once per month at our Toronto office (4 New Street, Toronto, ON), with additional in-office days as required based on business needs. Hybrid schedules are determined collaboratively between employees, managers, and teams.

RECRUITMENT NOTICE

• Accerta will only contact candidates using an @accerta.ca email address and will never request payment or personal financial information during the hiring process.
• If you are interested in a role posted on our website, please follow the application instructions outlined on the postings on the Accerta careers page.
• If you receive an email claiming to be from Accerta that seems unexpected or suspicious, please verify by contact [e-mail]

INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT

Accerta is an equal opportunity employer and committed to fostering diversity and inclusion in the workplace. We are committed to fair employment practices, and all qualified applicants will receive consideration for employment. We offer accommodation for applicants with disabilities, as required throughout the recruitment process. Reasonable accommodation is also available on request for candidates taking part in all aspects of the selection process.

To request accommodation, please contact [e-mail].

We appreciate your interest in working with us; however, only those applicants selected for interviews will be contacted.

Final candidates for this position may be required to undergo a security screening, including criminal records check, judicial matters check, vulnerable sector screening and employment reference check. To learn more about us please go to: www.accerta.ca.