Claims Adjudicator

Groupsource-Limited-Partnership; Calgary; Hybrid; CAD 45,000 - 50,000; Full time

Benefits offered by this job

Flexible work options

Group benefits

Retirement savings plans

Wellness programs

Job summary

GroupSource in Calgary is seeking a Claims Adjudicator to adjudicate health and dental claims with precision and care. This hybrid role blends on-site collaboration at the Calgary office with flexible work-from-home days each week.

You will learn standard processing rules, master the ClaimSecure program within three months, and help colleagues with inquiries. A strong focus on accuracy and customer service is essential for success in this role.

Qualifications

• Strong accuracy and data-entry skills.
• Excellent customer service and written/oral communication.
• Ability to manage high volumes and meet productivity goals.

Responsibilities

• Adjudicating health and dental claims accurately and efficiently, including both basic and complex cases.
• Answering telephone and email inquiries with professionalism and care.
• Meet or exceed productivity standards, processing approximately 250 lines of claims daily.
• Learn and apply standard processing rules for group benefits claims.
• Master the ClaimSecure program within the first three months.
• Support colleagues by filing correspondence, claims, and inquiries.

Skills

Data-entry

Customer service

Detail-oriented

Communication

Education

Post-secondary completion/near completion

Job description

At GroupSource, we believe great work starts with a strong foundation, built on purpose, people, and partnership. For over 40 years, we've partnered with Canadian organizations to design and administer affordable, customized group benefit plans. We're more than just a service provider; we're an extension of our clients, committed to delivering exceptional service with care and integrity.

That same commitment extends to our people. We put relationships first because when employees feel seen, supported, and empowered, everyone thrives. From your first day, you'll step into a collaborative, inclusive, and flexible environment where your voice matters and your growth is championed.

At GroupSource, our client-first mindset drives everything we do. You'll be part of a team that shows up for one another and for our clients, backed by a leadership team that listens, adapts, and leads with purpose. Together, we turn partnership into impact, delivering real results for our clients and meaningful experiences for our people.

Why This Role Matters

As a Claims Adjudicator, you play a critical role in ensuring our members and providers receive accurate and timely claim decisions. By combining efficiency, accuracy, and exceptional customer service, you directly contribute to GroupSource's mission of delivering customized group benefits with care and integrity.

This is a hybrid role based out of our Calgary office, working a mix of days on site and from home each week.

What You’ll Be Responsible For

• Adjudicating health and dental claims accurately and efficiently, including both basic and complex cases.
• Assisting members and providers by answering telephone and email inquiries with professionalism and care.
• Meeting or exceeding established productivity standards, including processing approximately 250 lines of claims daily.
• Learning and applying standard processing rules for group benefits claims.
• Mastering the ClaimSecure program within the first three months.
• Supporting colleagues by filing correspondence, claims, and assisting with inquiries.

What You Bring to the Table

• Strong accuracy and attention to detail, with proven data-entry skills and number-pad familiarity.
• Excellent customer service skills with strong oral and written communication abilities.
• Above-average organizational and planning skills to manage high volumes of work.
• Comfort with repetitive tasks and the ability to meet productivity goals.
• Tech-savviness and willingness to learn new systems quickly.

Nice to Have

• Experience in the group benefits industry is an asset
• Bilingual in French is an asset
• Post-secondary completion/near completion is an asset

You will succeed in this role if you are:

• Detail-Oriented – You take pride in accuracy and precision, ensuring claims are adjudicated correctly.
• Customer-Focused – You deliver outstanding service with empathy and professionalism.
• Organized – You can manage high-volume workloads while maintaining efficiency and focus.
• Collaborative – You thrive in a team environment, supporting colleagues and contributing to shared success.

Compensation

At the time of this posting, the estimated annual base salary for this position is $45,000-$50,000. Individual compensation within this range is determined by factors such as job-related skills, relevant experience, and education/training. This range reflects the annual base salary only and does not encompass the comprehensive total rewards package that we proudly offer.

Why Join GroupSource?

• Flexible work options designed to support your life, not just your job.
• Comprehensive group benefits, retirement savings plans, and health and fitness programs designed to support your overall wellness and lifestyle.
• Join a team where collaboration, inclusivity, and authentic relationships fuel our shared success every day.
• Whether you're building new skills or stepping into leadership, you'll find clear paths, personalized development, and leadership that champions your ambitions.
• Your work directly contributes to creating tailored solutions that empower Canadian organizations and improve the lives of their employees.
• Enjoy programs that recognize your hard work and support your wellness because thriving at work starts with feeling supported as a whole.

Accommodation and Inclusion

GroupSource is committed to equity, diversity, and inclusion. If you need accommodation during any stage of the hiring process, please let us know—we’re here to help.