See more Collapse

Claims Specialist

4 weeks ago

Saskatoon, Canada Saskatchewan Blue Cross Full time

Saskatchewan Blue Cross®, one of Saskatchewan’s Top Employers, is currently recruiting for a permanent full-time_ Claims Specialist (Dental) _to join our Health & Dental Claims Department. This position offers the flexibility to work in-office or participate in hybrid options based in our Saskatoon or Regina office.

**JOB FUNCTION**

**WHY CHOOSE SASKATCHEWAN BLUE CROSS?**

We’re driven by a mission to empower communities on their journey to whole health and wellness and have a lot of exciting things ahead of us. We’re improving our members’ experiences through investment in our people, technology, services, and products. When you join our team, you’re joining an organization where employees are valued, recognized for their contributions, and empowered to make us stronger. The wellbeing of our employees, our members, our partners, and our communities is at the heart of our operations.

Our industry is evolving fast, and so are we We’re looking for people who:

- Share our values
- Believe that creating great experiences is totally within their control
- Collaborate and always set others up for success
- Build positive relationships and an understanding of what people’s needs are
- See solutions and possibilities (not problems)
- Are simply outstanding at what they do

**DUTIES & RESPONSIBILITIES**
- Accurately and efficiently enter and adjudicate dental claims and pre-determinations based on the contract provisions and internal policies and procedures to ensure timely payment for our dental providers and members
- Review dental treatment plans, accident reports, and x-rays
- Process pended electronic dental claims and electronic dental reversals
- Create and maintain effective working relationships with dental providers and consultants
- Respond to telephone and/or written inquiries from customers and service providers regarding all aspects of benefits and claims assessment
- Explain benefit payments and exclusions to plan members and providers of service
- Research and compile information from various sources to resolve inquiries, including consulting with Claims Analysts or other staff as appropriate
- Follow through to ensure effective and efficient resolution of problems
- Participate in the Claims Quality Assurance Program
- Monitor individual production to ensure turnaround expectations are met
- Suggest opportunities for improvements in workflows and processes
- Remain current with product knowledge
- Act as a key leader, resource, and liaison within and outside the department and organization
- Train, mentor, and provide informational and procedural support to the Claims Analysts
- Stay abreast of and communicate product, industry, system, and contract changes
- Perform other duties as required

**QUALIFICATIONS & SKILLS**
- Completion of a Dental Assistant Certification from a recognized institution and a minimum of 1-3 years experience as a dental assistant
- Proven knowledge of CDA dental codes, dental terminology, clinical procedures and nomenclature and the ability to interpret dental x-rays
- Previous experience processing dental claims, and/or other insurance experience would be definite assets
- Well organized, detail oriented, and a desire for continuous learning
- Exceptional analytical, problem-solving, and decision-making capabilities
- Demonstrated ability to work to deadlines and manage fluctuations in workload
- Possess strong keyboarding skills
- Established ability to learn new software programs
- Working knowledge of Microsoft Office 365
- Effective listening, interpersonal, and problem-solving competency
- Excellent verbal and written communication skills
- Ability to work independently, as well as in a group environment
- Must be legally entitled to work in Canada on an unrestricted basis

We have other current jobs related to this field that you can find below

  • Claims Examiner

    4 weeks ago

    Saskatoon, Canada Sandbox Mutual Insurance Full time

    As a property and casualty insurance specialist for more than 100 years, Sandbox Mutual Insurance Company seeks opportunities to be the preferred insurance carrier. At Sandbox, we not only celebrate people, but we are driven by a relentless need to build personal connections resulting in exceptional customer experiences. Join a team that strives to become a...

  • Claims Desk Adjuster

    6 days ago

    Saskatoon, Canada Sandbox Mutual Insurance Full time

    **Claims Desk Adjuster** As a property and casualty insurance specialist for more than 100 years, Sandbox Mutual Insurance Company seeks opportunities to be the preferred insurance carrier. At Sandbox, we not only celebrate people, but we are driven by a relentless need to build personal connections resulting in exceptional customer experiences. Join a team...

  • Claims Analyst I

    5 days ago

    Saskatoon, Canada Saskatchewan Blue Cross Full time

    Saskatchewan Blue Cross®, one of Saskatchewan’s Top Employers, is currently recruiting for a full-time _Claims Analyst (I)_ to join our team in the Health & Dental Claims department. This is a temporary position (for up to 12 months) with the possibility of extension. This position offers the flexibility to be in-office or participate in hybrid options in...

  • Claims Analyst I

    2 weeks ago

    Saskatoon, Saskatchewan, Canada Saskatchewan Blue Cross Full time

    Saskatchewan Blue Cross, one of Saskatchewan's Top Employers, is currently recruiting for a full-time _Claims Analyst (I)_ to join our team in the Health & Dental Claims department. This is a temporary position (for up to 12 months) with the possibility of extension. This position offers the flexibility to be in-office or participate in hybrid options in our...

  • Claims Analyst I

    4 weeks ago

    Saskatoon, Canada Saskatchewan Blue Cross Full time

    Job Details Description Saskatchewan Blue Cross®, one of Saskatchewan’s Top Employers, is currently recruiting for a full-time Claims Analyst (I) to join our team in the Health & Dental Claims department. This is a temporary position (for up to 12 months) with the possibility of extension. This position offers the flexibility to be in-office...

  • Liability Specialist

    3 weeks ago

    Saskatoon, Canada Saskatchewan Government Insurance Full time

    Do you value integrity and innovation? How about passion and caring? Great! Us too, and that's why you'll fit right in. Our intentional culture promotes trust and participation, encouraging you to bring your heart and mind to work every day. In scope Temporary (12-month term) Work Hours: Full time, Monday to Friday Pay Range: $69,948 - $88,272 per...

  • Training & Process Specialist

    4 weeks ago

    Saskatoon, Canada Saskatchewan Blue Cross Full time

    Saskatchewan Blue Cross®, one of Saskatchewan’s Top Employers, is currently recruiting for a full-time permanent_ Training & Process Specialist _in the Life & Disability Services Department. This position offers the flexibility to work in office or participate in hybrid options based out of our Saskatoon or Regina office. **J**OB FUNCTION** If you are...

  • Disability Management

    3 weeks ago

    Saskatoon, Canada Voyageur Aviation Corp Full time

    **This is a hybrid position with potential remote opportunity. Voyageur Aviation is headquartered in North Bay, Ontario.** **A Career in Aviation and Beyond - Disability Management & Attendance Specialist** Reporting to the Human Resources Manager, the Disability Management & Attendance Specialist is a key member of the Voyageur Human Resources team. This...

  • Finishing Carpenter

    3 weeks ago

    Saskatoon, Canada Saskatoon Disaster Services DKI Full time

    **DKI Saskatoon Disaster Services** is a full-service property restoration contractor and 24 / 7 emergency response company. Founded in 2002, DKI Saskatoon Disaster Services has built a reputation based on project quality, client care, and professionalism in handling all types of property damage restoration and repair. We are the Consumer Choice Award Winner...

  • Senior Specialist, Contracts Administration

    4 weeks ago

    Saskatoon, Canada K+S Full time

    Das erwartet Sie Reporting to the Director, Procurement & Corporate Affairs, the Sr. Specialist, Contracts Administration is responsible to oversee contract administration processes from contract execution through to the completion of the Service, Supply and Construction contract demobilization. The Sr. Specialist, Contracts Administration will primarily...

  • Senior Specialist, Contracts Administration

    4 weeks ago

    Saskatoon, Canada K+S Full time

    Das erwartet Sie Reporting to the Director, Procurement & Corporate Affairs, the Sr. Specialist, Contracts Administration is responsible to oversee contract administration processes from contract execution through to the completion of the Service, Supply and Construction contract demobilization. The Sr. Specialist, Contracts Administration will primarily...

  • Extended Warranty Specialist

    2 weeks ago

    Saskatoon, Canada iA Groupe financier iA Financial Group Full time

    Under the supervision of the Sales Manager, the Extended Warranty Specialist is responsible for maximizing the performance of this product to assigned dealers. In this role, you will support your clients in various ways to optimize their performance and maintain excellent business relationships. You will work with the Claims Department to ensure dealers and...

  • Dealer Support Specialist

    4 weeks ago

    Saskatoon, Canada Norseman Structures Full time

    Norseman Structures has been in the protection and shelter business for over 100 years, starting with the fabrication of outfitter and exploration tents in the 1920s. Today we deliver a wide variety of ShelterSolutions to customers in virtually every industry, in a variety of climates, anywhere in the world. We are looking to add a **Dealer Support...

  • Senior Specialist, Contracts Administration

    3 days ago

    Saskatoon, Canada K+S Potash Canada Full time

    K+S Potash Canada (KSPC) is part of the K+S Group, with headquarters in Saskatoon, Saskatchewan; a solution potash mine and production facility located near Moose Jaw and Regina, Saskatchewan; and a potash handling and storage facility operated in partnership with Pacific Coast Terminals in Port Moody, British Columbia. We acknowledge that our Saskatchewan...

  • Senior Specialist, Contracts Administration

    6 days ago

    Saskatoon, Canada K+S Potash Canada Full time

    K+S Potash Canada (KSPC) is part of the K+S Group, with headquarters in Saskatoon, Saskatchewan; a solution potash mine and production facility located near Moose Jaw and Regina, Saskatchewan; and a potash handling and storage facility operated in partnership with Pacific Coast Terminals in Port Moody, British Columbia. We acknowledge that our Saskatchewan...

  • Extended Warranty Specialist

    2 weeks ago

    Saskatoon, Saskatchewan, Canada iA Groupe financier iA Financial Group Full time

    Under the supervision of the Sales Manager, the Extended Warranty Specialist is responsible for maximizing the performance of this product to assigned dealers. In this role, you will support your clients in various ways to optimize their performance and maintain excellent business relationships. You will work with the Claims Department to ensure dealers and...

  • Tec Adjuster, Full-time

    2 months ago

    Saskatoon, Canada ClaimsPro LP Full time

    Company: ClaimsPro LP TEC Adjuster, Full-Time, (Saskatoon,SK) - ClaimsPro’s _ - Transportation, Equipment & Cargo_ - Our TEC unit is a dedicated team of experienced professionals offering specialized claims services for the Transportation, Equipment, and Cargo (TEC) industries as they pertain to Collision, Cargo, Total Loss and Salvage Valuations,...

  • Retail Operations Specialist, Pharmacy

    4 weeks ago

    Saskatoon, Canada Federated Co-operatives Limited Full time

    Federated Co-operatives Limited (FCL) is hiring a Retail Operations Specialist, Pharmacy on a permanent full-time basis at our Home Office in Saskatoon, SK. **Who we are**: **What you’ll do**: You will assist approximately 70 pharmacies in the Co-operative Retailing System (CRS) in improving operational results through retail visitations and...

  • Furniture Specialist

    4 weeks ago

    Saskatoon, Canada Concept3 Business Interiors Full time

    **POSITION PROFILE & COMPENSATION** **FURNITURE SPECIALIST** General Job Description The primary function of this position is to develop customer relationships and to secure customer orders for products and services offered by C3BI. To work with all C3BI team members to process, verify, and track all customer furniture and service orders, to coordinate and...

  • Retail Operations Specialist, Pharmacy

    2 weeks ago

    Saskatoon, Saskatchewan, Canada Federated Co-operatives Limited Full time

    Federated Co-operatives Limited (FCL) is hiring a Retail Operations Specialist, Pharmacy on a permanent full-time basis at our Home Office in Saskatoon, SK.Who we are:What you'll do:You will assist approximately 70 pharmacies in the Co-operative Retailing System (CRS) in improving operational results through retail visitations and recommendations outlined in...