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Halifax, Nova Scotia, Canada People Corporation Full timeJob SummaryWe are seeking a skilled Claims Adjudicator to join our team at People Corporation. As a Claims Adjudicator, you will be responsible for analyzing and adjudicating claims according to contract provisions, providing timely and accurate reimbursement of benefit claims, and delivering exceptional customer service.Key ResponsibilitiesAnalyze and...
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Claims Adjudicator
2 months ago
Job Summary
We are seeking a skilled Claims Adjudicator to join our team at People Corporation. As a Claims Adjudicator, you will be responsible for analyzing and adjudicating claims, providing excellent customer service, and maintaining departmental standards.
Key Responsibilities
- Analyze and adjudicate claims according to contract provisions and provider agreements.
- Provide timely and accurate reimbursement of benefit claims.
- Correspond and communicate with members, consultants, providers, and other internal and external customers.
- Apply guidelines, determine coverage, complete eligibility verification, and identify discrepancies.
- Verify data entry for accuracy and completeness.
- Meet monthly production benchmarks, daily and weekly.
Requirements
- 1-2 years experience adjudicating medical/dental/vision claims or accident benefits claims.
- Strong analytical skills to research, review, and assess claims.
- Excellent verbal and written communication skills.
- Exceptional customer service skills.
- Strong attention to detail with exceptional organization skills.
- Ability to manage multiple cases simultaneously.
- Ability to learn complexities of multiple benefit plans.
- Intermediate computer skills in the use of related computer applications.
- To be a team player with strong interpersonal skills.
What We Offer
- Competitive compensation.
- 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.
About People Corporation
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.
