Human Resource Executive jobs in Canada

Job ID: 7797

Job Function: Administration

Institution: National University Health System

• Assist with end-to-end employee medical claims processing in-house, ensuring timely submission, and minimizing backlogs.
• Verify claims documentation for accuracy, eligibility, and compliance with our benefits policies.
• Assist in claims queries, disputes, investigations, and resolutions with employees, HRBP, Finance, and broker/insurers.
• Liaise with institutions or other public healthcare institutions and regulatory bodies for claims related matters.
• Support daily operations and workflow coordination to ensure smooth team functioning.
• Identify process inefficiencies and recommend automation or digitalization to streamline workflows.

• Diploma in Human Resources, Business-related field.
• Min 2 years of experience in claims processing, benefits administration, healthcare claims, or HR Shared Services preferred.
• Strong knowledge of work injury claims, employee medical claims, and insurance reimbursement procedures.
• Proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint) for reporting and reconciliation.
• Experience with HR systems (e.g., SuccessFactors and SAP) is preferred.
• Excellent problem-solving skills with the ability to handle complex claim escalations.
• Strong attention to detail with high accuracy in claim verification and reporting.
• Ability to work independently in a fast-paced environment.
• Strong communication and interpersonal skills for stakeholder engagement and team collaboration.
• A continuous improvement mindset, with the ability to identify process/system gaps and improvements.