Group Benefits Claims Lead

Recruitment Partners; Alberta; On-site; CAD 80,000 - 110,000; Full time

Job summary

A leading company in Canada is seeking a Group Benefits Claims Lead to enhance their claims process and ensure regulatory compliance. The role involves managing a team, fostering collaboration, and delivering exceptional service to clients. Ideal candidates will have extensive experience in claims management and strong leadership skills.

Qualifications

• 3+ years in group benefits claims management with team leadership experience.
• 5+ years in group benefits insurance with knowledge of claims processing.
• Insurance designation (e.g., LOMA, CEBS GBA, ICA) is an asset.

Responsibilities

• Lead a claims management team, ensuring accuracy and efficiency.
• Implement workflows for timely claims processing.
• Conduct claim file reviews and optimize processes.

Skills

Problem Solving

Decision Making

Client Focus

Organizational Skills

Analytical Skills

Interpersonal Skills

Communication Skills

Education

Bachelor’s Degree in Human Resources, Business Administration, or equivalent

Tools

MS Office Suite

Customer Service Software

Job description

Job Opening: Group Benefits Claims Lead

Our client is seeking a Group Benefits Claims Lead to join their team. This role involves designing and optimizing the claims process, ensuring regulatory compliance, and providing exceptional service to members and stakeholders. The ideal candidate will be a strong problem solver and decision maker, with a client-focused approach.

Key Responsibilities:

• Assist in evaluating a new claims adjudication partner.
• Contribute to the development of the new administration system.
• Lead a claims management team, fostering collaboration and prioritizing accuracy, efficiency, and engagement.
• Implement workflows for timely and compliant claims processing.
• Support ongoing training and development for the team.
• Maintain a client service culture, motivating the team to deliver the best claims experience in Canada.
• Conduct claim file reviews and performance assessments to identify trends and optimize processes.
• Handle disputes and escalations effectively, working with claimants and plan sponsors to find fair resolutions.

Required Skills and Qualifications:

• 3+ years of experience in group benefits claims management, with team leadership experience.
• 5+ years of group benefits insurance experience, with deep knowledge of claims processing and regulations.
• Bachelor’s Degree in Human Resources, Business Administration, or equivalent.
• Excellent organizational, analytical, and interpersonal skills.
• Strong communication skills to convey complex information clearly.
• Proficiency in MS Office Suite (Word, Excel, Outlook, PowerPoint).
• Experience with Customer Service Software.
• Insurance designation (e.g., LOMA, CEBS GBA, ICA) is an asset.

If interested and qualified, please click the “Apply” button to send your resume to Jason Dick, Dalia Hassan, Bobi-Jo Warner, and Andre Donado.