Group, Claims Examiner II

First Canadian Insurance Corporation; Edmonton; On-site; CAD 45,000 - 65,000; Full time

Benefits offered by this job

Vacation & Time Off

Employer retirement plan

Health & Wellness spending

Education assistance

Early finish on Fridays

Employee assistance program

Employee discounts

On-site gym

Bilingualism premium

Job summary

First Canadian Group Benefits, based in Edmonton, seeks an experienced claims specialist to adjudicate health and dental claims and support member inquiries. You will work with senior leaders and contribute to a growing national team.

The role emphasizes accuracy, multitasking, and collaboration with the in-house claims group. A bilingual English/French capability is valued, with on-site duties in Edmonton.

Qualifications

• University/Diploma/Certificate preferred or other academic/professional experience equivalencies may be considered.
• Minimum of 3-5 years health and dental claims experience in the Canadian Group Benefits industry.
• Ability to multitask and meet tight deadlines.
• Intermediate skills with Microsoft Office (Word/Excel).
• Fluent in English; bilingual French is an asset.
• Successful completion of background and verification checks before employment.

Responsibilities

• Data entry to adjudicate health and dental claims with high accuracy.
• Use a CRM to track and respond to inquiries from members and clients.
• Meet production and quality standards for the claims team.
• Other duties as assigned.

Skills

Multitasking

Microsoft Office

English fluency

French language (asset)

Education

University/Diploma/Certificate preferred

Tools

Microsoft Office (Word/Excel)

Job description

LeMarchand Mansion
Edmonton, AB T5K 0J8, CAN

• On-site
• GROUP BENEFITS
• Full-Time
• Requisition #: GROUP002396

Description

Bring What You Know. Help Build What's Next.

First Canadian Group Benefits is growing nationally, and we're investing in the people, technology and capabilities that will support our next stage of growth.

A division of an established Canadian financial services organization, we have the stability and resources behind us to build for the future while remaining small enough that talented people can have a meaningful influence on where we're going.

Our employees work directly with senior Group Benefits leaders, including our President and Vice President. Ideas move quickly, expertise is valued and you'll have the opportunity to see the impact of your work.

We're looking for people who want more than a narrowly defined role. People who can get into the details, solve problems and understand the operation while also stepping back, thinking strategically and asking how we can make it better.

If you've built your Group Benefits expertise and are ready to use it to help build what's next, this could be the opportunity you've been looking for.

What We Offer

• Vacation and Earned Time Off program
• Group Retirement Savings Plan with employer match
• Employee benefits plus Health & Wellness Spending Account
• Educational assistance and career development
• One-hour early finish on Fridays
• Employee Assistance Program and employee discount programs
• On-site gym
• 5% bilingualism premium for qualified professional-level French bilingualism, where applicable

Why This Opportunity is Different

Learn more. See more. Grow faster.

In a larger organization, your role may expose you to one part of the Group Benefits lifecycle. At First Canadian, you'll have the opportunity to understand how the pieces connect, work closely with experienced leaders and contribute to a growing national business.

As the business grows, so can the scope of your experience.

Where You Can Make An Impact

• How claims processes and workflows evolve as we continue building our in-house claims capability.
• Opportunities to make the claims experience more efficient and effective for members and clients.
• Procedures and best practices that support accurate, consistent claims adjudication.
• Improvements identified through your day-to-day experience using our systems and processes.
• How knowledge and feedback from the Claims team are incorporated into future improvements.

Growth creates opportunity

As our business has grown, employees have had opportunities to expand their responsibilities and move into leadership positions. We're continuing to build the capabilities and leadership structure our future business will require.

Where you'll work

Our Group Benefits team works together in-office in Edmonton. We believe the stage we're at as a growing business benefits from close collaboration, immediate access to leaders and the ability to solve problems together.

What you'll do

• Data entry to adjudicate health and dental claims in accordance with the terms and conditions of policy coverage with a high degree of accuracy.
  
• Effectively uses a Customer Relationship Management system to track and respond to written and telephone inquiries from plan members and clients within established service standards.
  
• Meet production and quality standards for the claims team on a consistent basis.
  
• Other duties as assigned.

Qualifications:

• University/Diploma/Certificate preferred or other academic/professional experience equivalencies may be considered.
• A minimum of 3-5 years health and dental claims experience within the Canadian Group Benefits industry.
• Demonstrated ability to multi task and meet tight deadlines.
• Intermediate skills with Microsoft Office (Word/Excel).
• 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.

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

Thank you for considering our organization.

We are an equal opportunities employer and welcome applications from all suitably qualified persons. Accommodations are available upon request.