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: Supervisor Claims & Predeterminations
EMPLOYMENT TYPE: Fixed Term Contract, Six (6) months, Hybrid
ABOUT THIS OPPORTUNITY
The Supervisor, Claims & Predeterminations will lead a team responsible for the adjudication of dental and health benefit claims, ensuring accurate, timely, and compliant processing across a portfolio of programs. You’ll oversee the day to day operations, reinforce quality assurance standards, coach for consistency, and handle escalations with sound judgment. Operating within a Certified B Corporation environment, you model purpose driven leadership—embedding accountability, transparency, and fairness into policies, procedures, and claimant interactions. Success looks like: clear SLAs met or exceeded, audit ready files, seamless partner/provider collaboration, and a culture of continuous improvement that measurably lifts accuracy and client experience.
ACCOUNTABILITIES
- Provide daily leadership to the Claims team, ensuring accurate, timely expense processing and reporting.
- Support and resolve inquiries from clients, dental offices, and healthcare providers with professionalism and empathy.
- Collaborate with cross functional teams (Provider Relations, Administrative Services, Contact Centre, Compliance) to maintain smooth operations.
- Monitor KPIs (processing times, compliance, audit results, accuracy) and take corrective action as needed.
- Deliver ongoing coaching and feedback to build team capability, accuracy, and professionalism. Oversee onboarding and training to ensure consistent understanding of policies, workflows, and service standards.
- Handle escalated or complex expense issues, ensuring timely and positive stakeholder outcomes.
- Reinforce consistent workflows, documentation standards, and regulatory requirements.
- Partner with Management to identify trends, gaps, and process improvement opportunities.
- Lead continuous improvement initiatives and encourage staff-driven enhancements to processes and service.
- Support change initiatives by communicating updates and guiding adoption of new tools or processes.
- Assist with resource and capacity planning to maintain service levels and balanced workloads.
- Foster a collaborative, accountable, growth oriented team culture.
- Maintain confidentiality and privacy of all information.
- Perform other duties as assigned.
QUALIFICATIONS
- 3–5 years of experience in dental and/or health insurance claims processing
- Minimum 1–2 years of experience in a supervisory, team lead, or coaching role.
- Experience monitoring KPIs, compliance, audit results, and/or performance dashboards.
- Demonstrated experience providing coaching, feedback, and performance management.
- Experience working with adjudication systems and familiarity with dental coding and health benefits programs.
- Familiarity with expense management systems, claims software, financial databases, and quality assurance platforms.
- Experience of supporting onboarding and training of new staff.
- Understanding of expense processing strategies, compliance standards, and financial stewardship best practices.
- Experience working with vulnerable or marginalized populations is an asset.
Education:
- Diploma or degree in Dental Administration, Health Sciences, Insurance Adjudication, or related field, or an equivalent combination of education and relevant experience.
ANNUAL SALARY: $60,000 – 72,500
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 St., Toronto, ON), with additional in-office days as required based on business needs. Hybrid schedules are determined collaboratively between employees, managers, and teams.
HOW TO APPLY
We accept applications submitted via our Dayforce Portal - Click this link to apply. Please note that we use AI tools to support and enhance our recruitment process, including scribing tools during the interview. Artificial intelligence (AI), however, is not used to screen candidates.
Rest assured that your application will be reviewed thoroughly by our hiring team.
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
[email protected].
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.
