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Health Claims Specialist

3 months ago

Old Toronto, Ontario, Canada iA Financial Group Full time

Department: Claims - Health & Dental Insurance Location: Remote Working Conditions: Flexible work environment Status: Permanent, Full-Time

Are you detail-oriented and seeking a fulfilling career in the Insurance sector? As a Health and Dental Claims Specialist, you will be essential in accurately processing health and dental insurance claims while ensuring compliance with industry regulations and organizational policies.

Key Responsibilities:
  1. Evaluate and process health and dental claims, ensuring precision and compliance with contractual obligations.
  2. Authenticate and verify submitted documentation, confirming provider qualifications and implementing necessary checks.
  3. Exhibit proficiency in independently managing various claim types while maintaining high productivity and quality benchmarks.
  4. Engage with members and providers to gather missing information, adhering to established turnaround times.
  5. Identify opportunities for process enhancements and actively contribute to improvements.
  6. Gather necessary information to assess claims, determine reasonable costs, and make informed decisions based on contract terms.
  7. Ensure the validation of received documents, confirming provider acceptance and applying appropriate controls based on authority levels.
What You Would Bring to iA:
  1. Completion of a college diploma (DCS) or equivalent experience.
  2. 2-3 years of relevant professional experience.
  3. Strong analytical abilities and sound judgment in decision-making.
  4. Ability to work autonomously and demonstrate availability.
  5. Commitment to maintaining confidentiality regarding sensitive information.
What Would Be an Asset but Not Required:
  1. Two years of experience in processing health and dental claims.
  2. Bilingual proficiency in French (both spoken and written).
What iA Financial Offers:
  1. A competitive compensation package that includes an annual bonus for all permanent employees.
  2. We prioritize work-life balance, offering Personal Leave Days in addition to vacation time.
  3. To promote a healthy lifestyle, we provide a comprehensive Wellness plan covering fitness and wellness expenses.
  4. A medical and dental benefits plan for employees and their dependents, along with a Health Spending Account for additional costs.
  5. A Defined Benefit Pension plan to support your retirement.
  6. A home office equipment program to ensure an optimal working environment.
  7. Participation in our Share Purchase Plan with matching contributions from iA.
  8. Your growth and continuous improvement are important to us; we offer an Education Assistance Program to help you advance your career.

Our employees are our greatest asset, and we are committed to providing them with valuable opportunities.

Company Overview

iA Financial Group combines the strength of a large organization with a personal touch, employing over 8,000 individuals. Together, we have earned the trust of more than four million clients and 50,000 advisors who rely on us for their insurance, savings, and wealth management needs.

With over $200 billion in assets and significant investments in technological innovation, we are a key player in the financial services sector in Canada and the United States. Our success is rooted in our commitment to investing in our employees, one individual at a time. For over 125 years, we have believed that by supporting our workforce and collaborating with industry leaders, we will continue to innovate.

At iA, we are dedicated to your success.

Our Commitment to Diversity and Inclusion

At iA Financial Group, we celebrate and support diversity. We strive to create a workplace that is recognized as inclusive for all, regardless of ethnic origin, nationality, language, religious beliefs, gender, sexual orientation, age, marital status, family situation, or physical or mental disability.

If you require assistance to make the recruitment process more accessible, please reach out to us. A member of our team will be happy to assist you.