Junior Health and Dental Claims Examiner

First Canadian Financial Group; Edmonton; On-site; CAD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a motivated Junior Health and Dental Claims Examiner to join their dynamic team in downtown Edmonton. This client-facing role involves adjudicating health and dental claims with precision while utilizing a Customer Relationship Management system. The ideal candidate will possess strong attention to detail, exceptional customer service skills, and a technological aptitude. The company values employee growth and offers numerous perks, including educational assistance, a group retirement savings plan, and a supportive workplace culture. If you are passionate about helping others and thrive in a fast-paced environment, this opportunity is perfect for you.

Benefits

Earned Time-Off Program

Group Retirement Savings Plan

On-site Gym

Educational Assistance

Health and Wellness Spending Account

Employee Assistance Program

Employee Discount Programs

Diversity and Inclusion Programs

Employee Recognition Events

Qualifications

• 3-5 years of health and dental claims experience in the Canadian Group Benefits industry.
• Intermediate skills in Microsoft Office and CRM systems.

Responsibilities

• Adjudicate health and dental claims with high accuracy.
• Respond to inquiries from plan members and clients effectively.

Skills

Attention to Detail

Customer Service Skills

Multi-tasking

Verbal Communication

Written Communication

Education

University Degree or Diploma

Professional Experience Equivalencies

Tools

Microsoft Office (Word/Excel)

Customer Relationship Management System

Job description

Job Details

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

• 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.
• French is not required for this role but is an asset, an uplift of 5% is applied after the probationary period for qualified professional level French bilingualism (both spoken and written).

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!

The Junior Health and Dental Claims Examiner, reporting to the Manager, Group Health & Dental Claims, is based in our downtown Edmonton location. This position is a client-facing position responsible for adjudicating health and dental claims. The ideal candidate will have strong attention to detail, a technological aptitude, a resourceful nature, and exceptional customer service skills.

Essential Responsibilities

• 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.

Thank you for considering our organization.

There will be a French and English assessment as a part of the recruitment process for eligible bilingual candidates.

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