Claims Analyst

Apply for the Claims Analyst - Hybrid role at Cowan Insurance Group. Reporting to the Supervisor, TPA Claims, the Claims Analyst is responsible for the adjudication of medical claims in accordance with claim processing guidelines. This role requires strong analytical skills, excellent communication abilities, and a commitment to providing exceptional service to our members. What You Will Do Assess and process claims in accordance with company’s service standards, procedures, and insurance policy guidelines. Obtain additional information needed to assess a claim - either through the provider or the subscriber. Assist in identification and actualization of cost containment opportunities. Handle claim enquiries ranging from basic to complex in nature. Seek advice from designated team members on complicated cases or claims above authority limit. Identify and investigate claims for possible abuse and fraud. Utilize all applicable system functions available to ensure accurate and timely claim processing service. Escalate unresolved claims complaints and high‑cost claims to the supervisor for guidance. Continually work to improve best practices, procedures, and standards. What You Will Bring Post‑secondary diploma in a related field or equivalent training. 1–2 years of experience in medical or dental administration, including familiarity with patient records and insurance claims processing. Strong attention to detail, organizational, time‑management and prioritization skills. Good judgement, reliability, and professionalism in a fast‑paced environment. Strong initiative, planning, and problem‑solving skills, including an ability to focus on both details and results. Excellent customer service skills and professionalism. Comfortable working independently with minimal supervision. Excellent written and verbal communication skills. Bilingual (English and French) is considered an asset. Who We Are Proudly independent and Canadian‑owned, Cowan Insurance Group has been a true market leader in the insurance industry since 1927. With an extensive range of product offerings and integrated commercial and personal insurance, group benefits, and wealth management solutions, we provide our clients with outstanding customized, comprehensive insurance and risk‑management professional advice and placement. Recognized as one of Canada’s Most Admired Cultures and a Canada’s Best‑Managed Companies Platinum Club Member, Cowan Insurance Group’s award‑winning client‑centric approach emphasizes innovation, excellence, and collaboration. Join our team as we prepare for our centennial celebration in 2027 Benefits And Perks Competitive salary. Comprehensive benefits plan on day one – no waiting period. Company‑matched Retirement Savings Plan. Company‑paid training and development courses. Community involvement opportunities. Hybrid work environment. Are you interested? Please apply This position is subject to appropriate background checks that may include credential, employment, credit, criminal and reference checks. While we appreciate the interest of all applicants, we will contact only those selected for interviews. If you are an applicant with disabilities and require accommodations, please let us know at the time of our contact so that we may arrange for their provision. We are an Equal Opportunity Employer. Candidates will be selected strictly on the basis of an individual’s technical qualifications, knowledge and experience, as they relate to the requirements of a particular position. Selections will be made without regard to age, ancestry, colour, race, citizenship, ethnic origin, place of origin, creed, disability, family status, marital status, gender identity, gender expression, record of offences, sex, or sexual orientation. #J-18808-Ljbffr