Manager Group Health

1 week ago

Edmonton, Canada First Canadian Insurance Corporation Full time

First Canadian is a national organization and we are experiencing unprecedented growth

We aim to hire bright, hard-working people who share our values. We seek employees who are committed to learning, career growth, and opportunity. We take pride in being an organization that our employees support long-term. We believe in our employees and celebrate their success by asking for employee opinions and feedback so that we continue to be a Great Place to Work.

**We award our team with the following**:

- **Off work 1 hour early on Fridays.**:

- **Earned Time-Off Program and vacation.**:

- **Group Retirement Savings Plan with employer match.**:

- **On-site gym.**:

- **Educational assistance and career development.**:

- **Employee benefits.**:

- **Health and Wellness spending account.**:

- **Employee Assistance Program (EAP).**:

- **Employee discount programs.**:

- **A Culture Team dedicated to diversity, inclusion, and employee programs.**:

- **Employee recognition and appreciation events.**:

- **French is not required for this role but is an asset, an uplift of 5% is applied after the probationary** period for qualified professional level French bilingualism (both spoken and written).**

Check out our company page for all the information on why we believe First Canadian is an employer of choice

If you are motivated to succeed by helping people, then this is the opportunity for you

Are you a seasoned professional in the Group Health and Dental claims field, looking to take on an exciting new challenge? Do you thrive on creating and leading teams while shaping processes in an innovative environment? If so, we have the perfect opportunity for you.

**Essential Responsibilities**:

- Assist in the evaluation for a new Health and Dental Claims Adjudication software partner.
- Provide input to influence and shape continued development on our new Administration System.
- Establish, mentor and lead a new claims processing team by fostering a collaborative environment that prioritizes accuracy, efficiency and employee engagement.
- Design and implement health and dental claims processing workflows that ensure timely and compliant handling of claims.
- Provide ongoing training and development opportunities for your team to ensure they are equipped with the necessary skills and knowledge.
- Create a client service culture and embed client engagement by inspiring and motivating the claims team to provide the best claims experience in Canada.
- Conduct regular health and dental claim file reviews and performance assessments, to identify and evaluate trends to optimize processes and provide. recommendations for technology enhancements.
- Possess excellent communication strategies to handle disputes and escalations, working with claimants and Plan Sponsors to find fair resolutions.
- Other duties as assigned.

**Qualifications**:

- Minimum 1-3 years experience of developing and leading a Health & Dental claims adjudication team.
- Minimum 5-7 years experience in group benefits Health and Dental Claims adjudication with a deep knowledge of claims processing and regulations.
- Bachelor’s degree in Human Resources, Business Administration or equivalent.
- Excellent organizational, analytical and interpersonal skills with the ability to manage multiple priorities.
- Strong problem-solving and decision-making abilities with a focus on providing a client focused approach.
- Excellent communication skills with the ability to convey complex information clearly to various stakeholders.
- Proficient in MS Office Suite (e.g. Word, Excel, Outlook, and PowerPoint).
- Experience working with Customer Service Software.
- An insurance designation is considered an asset (LOMA, CEBS (GBA), ICA, etc.).
- Fluent in English with proven competencies in verbal and written communication is required.
- Fluent in French with proven competencies in verbal and written communication is an asset.
- Successful completion of a credit, criminal, education, employer reference/verification, and professional designation checks before employment is required.

Thank you for considering our organization.

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