Bilingual Dental Claims Auditor

The Cigna Group

. Perform claim verifications and desk and/or on-site audits for dental, vision, mental health, and other healthcare benefits as needed .

Posted 9/29/2026full-timeMontreal • CanadaJuniorMid-Level💰 CA$58,000 - CA$65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in dental benefits, compliance auditing, and effective communication with providers. Capable of performing detailed audits, analyzing claim transactions, and managing confidential information while ensuring high-quality standards.

Highest-signal resume keywords

Dental Benefits KnowledgeAudit ExperienceMS Office ProficiencyBilingualism in French and EnglishTime Management Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claim VerificationAudit ReportingProvider Documentation AssessmentClaim Transaction Adjustment CalculationDental Software KnowledgeFee Code FamiliarityRisk ManagementData AnalysisProblem SolvingConfidential Information Management

Soft Skills

Interpersonal SkillsOrganizational SkillsCritical ThinkingSelf-MotivationFlexibility

Certifications & Qualifications

Dental Assistant LicenseDental Hygienist LicenseLOMA TrainingHIAA Training

Industry Keywords

Healthcare BenefitsProvincial RegulationsOn-Site AuditsDesk AuditsCustomer ValueContinuous ImprovementProfessional DevelopmentEnhanced Reliability Status

About the role

Key responsibilities & impact

Perform claim verifications and desk and/or on-site audits for dental, vision, mental health, and other healthcare benefits as needed
Communicate with providers to gather information for audits, educate them on claim submission practices, and respond to questions about audit results
Assess provider documentation for compliance with enrollment agreements, benefit plan design, and provincial regulations
Calculate adjustments required to correct claim transactions
Prepare, coordinate, and travel to on-site audits at provider locations, and complete post-audit activities
Compile and produce detailed, unbiased audit reports
Perform self- and peer reviews to ensure the accuracy and quality of claim reviews
Track audit activity and summarize claim analysis and recovery results for department statistics and customer presentations
Identify trends and recommend changes to risk criteria or candidates for desk or on-site audits
Recommend continuous improvements to prevent and manage risk and increase customer value
Respond to internal and external customer questions professionally, promptly, and accurately
Perform other assigned duties

Requirements

What you’ll need

Graduate of a post-secondary educational program as a dental assistant or dental hygienist, with a valid license
2–5 years of recent experience in a dental office environment, with working knowledge of dental software and fee codes
Valid driver’s license and ability to travel within Canada approximately 20–30% of the time
In-depth knowledge of dental benefits, reimbursement, and dental regulations
Previous audit or investigation experience is an asset
Ability to manage confidential information
Effective time-management and organizational skills
Strong critical-thinking skills, with the ability to analyze, problem-solve, and mediate difficult situations
Self-motivated, curious, and capable of working independently with minimal supervision
Strong interpersonal skills; a team player with the ability to work cross-functionally with other departments
Flexible and resourceful, with a mindset that embraces and champions change
Ability to manage high-priority tasks in a fast-paced environment
Ability to research and communicate findings effectively
Passion for professional development and continuous learning
Excellent verbal and written communication skills
Proficiency in MS Office, including Excel, Word, and Outlook
Bilingualism in French and English is required
LOMA or HIAA training is an asset
Successful completion of reference checks and background verification
Enhanced Reliability Status clearance from the federal government is a condition of employment

Benefits

Comp & perks

Competitive compensation, benefits, and pension plan
Career development and advancement opportunities
A culture that celebrates innovation and collaboration
Flexible work options and wellness programs
A positive work environment built on strong corporate values, integrity, mutual respect, collaboration, passion, service, and alignment
Accommodation for people with disabilities