![Johnston Group](https://media.trabajo.org/img/noimg.jpg)
Provider Maintenance Analyst
1 month ago
**Johnston Group** provides employee benefit solutions to over 30,000 companies, ranging from one employee to thousands across various product lines, including Chambers of Commerce Group Insurance Plan, Canada’s #1 employee benefits plan for small businesses. JG is a platinum member of _Canada’s Best Managed Companies_ and was named one of _Manitoba’s Top Employers_. We support a positive work atmosphere where we value the diversity in the people we serve and are looking for talent who will contribute to our diverse and inclusive workplace; where individual differences are recognized, appreciated, and respected. JG believes in giving back and contributes significantly to local health, arts, sports, and other community organizations.
You will review details of medical/dental associations and colleges and add providers to the database after careful review of their credentials. You will be responsible for responding to inquiries from providers, as well as following up with providers for additional information. You will also conduct thorough and timely preliminary reviews on claims for all lines of Johnston Group business, reporting recommendations to Senior Analysts.
You will be expected to follow departmental policies and procedures to ensure consistent workflow within our provider database. You may be required to attend Canadian Life and Health Insurance Association Anti-Fraud conferences and quarterly meetings to stay current with Industry standards and practices. A high level of professionalism is expected for this role.
Qualifications:
- Experience processing group insurance health and dental claims
- Proficient in Microsoft Word and Excel
- Ability to adapt to change quickly
- Strong communication, problem-solving, organizational and active-listening skills
- Sound decision making
- Ability to maintain a high level of confidentiality
- High level of attention to detail and accuracy
- Ability to handle competing priorities
- Strong team player; ability to work independently as well as part of a team
- Experience in a fraud-related field would be considered an asset
- Ability to communicate fluently in French (oral and written) will be considered an asset
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