Specialist Claims Examiner

Canada Life

Adjudicate canadian health and dental claims
Review claims according to policy
Accurate payment decisions
As a member of the Health and Dental Operations team, a Claims Examiner reviews, investigates and adjudicates Canadian health and dental claims in accordance with group policy contracts

Job Summary

  • As a member of the Health and Dental Operations team, a Claims Examiner reviews, investigates and adjudicates Canadian health and dental claims in accordance with group policy contracts.
  • Strong focus on ensuring accurate payment decisions according to adjudication guidelines and processing a high-volume of claims in an efficient manner.
  • We offer competitive salary and bonus program that rewards your performance in achieving individual and team objectives.

Matching Summary

As a member of the Health and Dental Operations team, a Claims Examiner reviews, investigates and adjudicates Canadian health and dental claims in accordance with group policy contracts.

Skills & Requirements

Must-have

  • Adjudicate Canadian health and dental claims
  • Review claims according to policy
  • Accurate payment decisions
  • High-volume claims processing
  • Collaborate with other departments
  • Communicate with providers and plan members

Nice-to-have

  • Demonstrate company values
  • Contribute to operational objectives
  • Work effectively in a team
  • Excel in a purpose-driven environment

Key Requirements

  • Minimum 40-50 wpm keyboarding speed
  • Business-related post-secondary education and/or equivalent experience
  • Ability to manage high volumes of work with high accuracy

Work Rights

Not specified

Tailored Resume

Cover Letter