Group Benefits Claims Lead

RECRUITMENT PARTNERS INC.; Edmonton; On-site; CAD 100,000 - 120,000; Full time

Job summary

A recruitment firm is looking for a Group Benefits Claims Lead to enhance their claims process while ensuring regulatory compliance. The ideal candidate will have experience in leading teams and optimizing workflows in group benefits claims, all while maintaining exceptional service levels.

Qualifications

• 3+ years of experience in group benefits claims management.
• 5+ years of group benefits insurance experience.
• Insurance designation (LOMA, CEBS (GBA), ICA) is an asset.

Responsibilities

• Design and optimize claims processes in compliance with regulations.
• Lead a team focused on accurate and efficient claims management.
• Implement workflows for timely handling of benefit claims.

Skills

Problem solving

Communication

Analytical skills

Organizational skills

Education

Bachelor’s Degree in Human Resources or Business Administration

Tools

MS Office Suite

Customer Service Software

Job description

2 days ago Be among the first 25 applicants

Our client is searching for a Group Benefits Claims Lead to join their team. This role will be responsible for playing a role in the design and optimization of the claims process, ensuring regulatory compliance, while providing exceptional service to members and other stakeholders. A successful candidate will be a strong problem solver ad decision maker with a focus on providing a client focused approach.

Your Success Will Be Defined By Your Ability To

• Assist in the evaluation for a new claims adjudication partner
• Provide input to influence and shape continued development on the new administration system
• Assist in leading a new claims management teal by fostering a collaborative environment that prioritizes accuracy, efficiency and employee engagement
• Implement claims processing workflows that ensure timely and compliant handling of all group benefit claims
• Assist with ongoing training and development opportunities for your team to ensure they are equipped with the necessary skills and knowledge
• Maintain a client service culture and embed client engagement by inspiring and motivating the claims team to provide the best claims experience in Canada
• Conduct regular claim file reviews and performance assessments, to identify and evaluate trends to optimize processes and provide recommendations for technology enhancements
• Possess excellent communication strategies to handle disputes and escalations, working with claimants and Plan Sponsors to find fair resolutions
  
  

Your strengths include:

• 3+ years of experience in group benefits claims management, with a proven record of leading and developing a team
• 5+ years of group benefits insurance experience with a deep knowledge of claims processing and regulations
• Bachelor’s Degree in Human Resources, Business Administration or equivalent
• Excellent organizational, analytical and interpersonal skills with the ability to manage multiple priorities
• Excellent communication skills with the ability to convey complex information clearly to various stakeholders
• Proficient in MS Office Suite, Word, Excel, Outlook, and PowerPoint
• Experience working with Customer Service Software
• An insurance designation is considered an asset (LOMA, CEBS (GBA), ICA, etc.)
  
  

If you are interested in this role and meet the above criteria, please click the “Apply” button to send your resume directly to Jason Dick, Dalia Hassan, Bobi-Jo Warner, and Andre Donado.

Recruitment Partners Inc. is an Alberta-based, Alberta-focused recruitment firm. We are dedicated to building long-term relationships while securing top talent for Alberta’s best employers. At the heart of our efforts is a collaborative, consultative approach. We are proud of our team of consultants, who come with practical business experience, a strong network of professional contacts, and are focused on what is best for both clients and candidates. We will facilitate the best fit between client and candidate. This means reduced turnover, enhanced employee engagement, increased productivity, customer satisfaction, and more.

Accounting & Finance – Engineering – Sales & Operations – Supply Chain – Human Resources – Office Support – Technology

Contact us today – Your Search Partner – www.recruitmentpartners.ca

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Staffing and Recruiting

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