Group Benefits Claims Manager

First Canadian Insurance Corporation

Edmonton

On-site

CAD 70,000 - 90,000

Full time

14 days+

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Benefits offered by this job

Earned Time-Off Program

Group Retirement Savings Plan

On-site gym

Educational assistance

Employee benefits

Health and Wellness spending account

Employee Assistance Program (EAP)

Employee discount programs

Diversity and inclusion programs

Employee recognition events

Job summary

First Canadian Insurance Corporation is hiring a Manager, Group Health & Dental Claims in Edmonton. This position is crucial for developing a new claims department. The successful candidate will lead a team, design processes, and ensure compliance.

Ideal candidates have strong leadership and claims management experience, along with excellent communication skills. The role offers numerous employee benefits including an Earned Time-Off Program and a Group Retirement Savings Plan.

Qualifications

Minimum 1-3 years experience leading a Health & Dental claims adjudication team.
Minimum 3-5 years experience in group benefits Health and Dental Claims adjudication.
Excellent communication skills to convey complex information clearly.

Responsibilities

Establish and lead a new claims processing team.
Design and implement claims processing workflows.
Provide ongoing training and development opportunities for your team.
Create a client service culture within the claims team.
Conduct regular claim file reviews to optimize processes.

Skills

Leadership

Claims management

Communication

Problem-solving

Client-focused approach

Analytical skills

Time management

Team building

Regulatory compliance

Bilingual (English/French)

Education

Bachelor’s degree in Human Resources or Business Administration

Tools

MS Office Suite

Customer Service Software (DialPad, HubSpot)

Job description

LeMarchand Mansion
Edmonton, AB T5K 0J8, CAN

Description

First Canadian is a national organization and we are experiencing unprecedented growth!

We aim to hire bright, hard-working people who share our values. We seek employees who are committed to learning, career growth, and opportunity. We take pride in being an organization that our employees support long-term. We believe in our employees and celebrate their success by asking for employee opinions and feedback so that we continue to be a Great Place to Work.

We award our team with the following:

This position works on-site.
Off work 1 hour early on Fridays.
Earned Time-Off Program and vacation.
Group Retirement Savings Plan with employer match.
On-site gym.
Educational assistance and career development.
Employee benefits.
Health and Wellness spending account.
Employee Assistance Program (EAP).
Employee discount programs.
A Culture Team dedicated to diversity, inclusion, and employee programs.
Employee recognition and appreciation events.

Check out our company page for all the information on why we believe First Canadian is an employer of choice!

If you are motivated to succeed by helping people, then this is the opportunity for you!

Are you a seasoned professional in the Group Health and Dental claims field, looking to take on an exciting new challenge? Do you thrive on creating and leading teams while shaping processes in an innovative environment? If so, we have the perfect opportunity for you.

The Manager, Group Health & Dental Claims is a hands-on leadership role and will be crucial for the development of our newly formed group health and dental claims department. The ideal candidate will bring a wealth of experience in health and dental claims management, combined with proven leadership skills to build a high-performing team. As the Manager Group Health & Dental Claims, you will play a key role in designing and optimizing claims processes, ensuring regulatory compliance, while providing exceptional service to members and other stakeholders, all while exceeding performance metrics.

Establish, mentor and lead a new claims processing team by fostering a collaborative environment that prioritizes accuracy, efficiency and employee engagement.
Design and implement health and dental claims processing workflows that ensure timely and compliant handling of claims.
Provide ongoing training and development opportunities for your team to ensure they are equipped with the necessary skills and knowledge.
Create 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 health and dental 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.
Other duties as assigned.

Qualifications:

This is a hands-on leadership role. The manager is expected to be directly involved in operational activities to ensure a thorough understanding of processes, responsibilities, and team functions.
Minimum 1-3 years experience of developing and leading a Health & Dental claims adjudication team.
Minimum 3-5 years experience in group benefits Health and Dental Claims adjudication with a deep knowledge of claims processing and regulations is required.
Bachelor’s degree in Human Resources, Business Administration or equivalent is an asset.
Excellent organizational, analytical and interpersonal skills with the ability to manage multiple priorities.
Strong problem-solving and decision-making abilities with a focus on providing a client focused approach.
Excellent communication skills with the ability to convey complex information clearly to various stakeholders.
Proficient in MS Office Suite (e.g. Word, Excel, Outlook, and PowerPoint).
Experience working with Customer Service Software (DialPad, HubSpot).
Fluent in English with proven competencies in verbal and written communication is required.
Fluent in French with proven competencies in verbal and written communication is an asset.
Successful completion of a credit, criminal, education, employer reference/verification, and professional designation checks before employment is required.