Claims Supervisor

5 days ago

Mississauga, Canada People Corporation Full time

We are seeking a Claims Supervisor to join our BPA team in Mississauga.

**_Please note that this position is 100% in-office. Hours: 8:30am - 4:30pm Monday to Friday._**

The Claims Supervisor assists with coordinating the activities for a of approximately 8-10 employees at BPA Mississauga location and provides support for all staff at our field offices who adjudicate multiple benefit lines.
- _

**The Claims Supervisor will**:

- Review, examine and direct the processing of unusual or complex claim cases or claims in excess of $5,000.00
- Obtain staff Claims Analysis daily to provide to the Claims Manager and investigate any problems
- Provide guidance and direction on a daily basis to claims unit
- Perform job supervisory duties required to assure proper training, instruction and development of staff
- Quality Control of Staff claims
- Assign all incoming claims to ensure Examiners receive appropriate number and type of claims and to redistribute as required
- Investigate and research complex claim issues or new procedures in the medical/dental field
- Regularly review and update the Claims manual
- Define, test and approve all system requests and enhancements in conjunction with the Claims Manager
- Review and authorize department supply order.
- Correspond and communicate via telephone, written correspondence or face-to-face with members, providers, consultants or other internal or external customers
- Monitor claim costs
- Perform any other duties delegated by the Claims Manager

**T**o be successful **as a** Claims Supervisor** with BPA, you will need**:

- A minimum of 2-4 years in a claims adjudication role in the health & dental space
- Strong knowledge of claims adjudication processes and procedures
- Superior verbal and written communication skills
- Exceptional attention to detail with strong organization skills
- The ability to manage multiple cases simultaneously
- To participate in company sponsored insurance programs such as FLMI, ACS, ALHC, C.E.B.S. and successful completion of these courses of study during tenure in the position
- To be a cooperative team player with strong interpersonal skills;
- Exceptional customer service skills
**- Experience with Adjudicare or other claims adjudication platforms
- Previous experience in a team lead or supervisory position

**What's in it for you**:

- Learn by working alongside our experts
- Extended health care and dental benefits
- A retirement savings plan with company contributions
- A suite of Health & Wellness offerings
- Mental Health programs and support for you and your family
- Assistance for the completion of industry designations
- Competitive compensation

At People Corporation we are committed to helping businesses succeed. We are a national provider of benefits, retirement, wealth, wellness, and human resource solutions. Our experts and solutions serve over 20,000 clients representing nearly 3 million Canadians. We offer customized solutions designed to fit the unique needs of businesses and their employees, members and stakeholders.

About BPA:
BPA is a division of People Corporation and has served members and beneficiaries in their local communities since 1958. BPA is dedicated to providing a superior benefits experience to our members, businesses, and trusts in the local communities in which they live and operate.

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