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Claims Adjudicator

1 month ago

Calgary, Canada GroupSource Limited Partnership Full time

GroupSource is currently looking for a **Claims Adjudicator** to join our team. This role has a **hybrid work arrangement**, required to work on site in our **Calgary office** with flexibility to work from home a few days a week.

**YOUR ROLE**

The **Claims Adjudicator** is responsible for adjudicating (decision about a claim submission) health and dental claims. They also are responsible for assisting clients by answering their telephone inquiries, all while achieving continued success in meeting our standard for service level agreements (SLA’s) and provide excellent customer service.

**WHAT TO EXPECT**
- To learn standard processing rules for group benefits health and dental claims
- To meet or exceed 250 lines or processing one hundred and ten (110) claims per day
- Work effectively within a team while setting personal productivity goals
- Mastering the Claim Secure program within the first three (3) months

**YOUR IMPACT**
- You will adjudicate basic and complex health and dental claims
- Answer phone calls and assist members and providers with claim/coverage inquiries
- Assist colleagues and members with claim inquiries
- Filing correspondence and claims

**THIS IS YOU**
- You have a high level of accuracy and attention to detail
- Excellent customer service with outstanding oral and written communication skills
- Above average organizational and planning skills
- You are tech savvy
- Able to handle a large, repetitive workload
- Strong data-entry skills with number-pad familiarity

**THIS IS NICE**
- Experience in the group benefits industry would be considered an asset
- Bonus if you speak French.
- Post-secondary completion or near completion

**WHAT YOU’LL GET**
- Comprehensive and competitive benefits package that supports you
- Our company-wide vacation policy guarantees a minimum of 3 weeks' vacation
- Flex days to help you achieve that work-life balance
- Wellness programs to support you in and out of the office
- Learn and grow with us through our employee education program