Claims Adjudicator
2 weeks ago
Job Summary
We are seeking a skilled Claims Adjudicator to provide timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.
Key Responsibilities
- Analyze and adjudicate claims according to contract provisions with the provider agreement up to $2,500.
- Maintain responsibility for evaluating all claims within the 5-day service standard of the Company.
- Correspond and communicate via telephone, written correspondence or face-to-face 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.
- Analytical skills to research, review and assess claims.
- Strong 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, including Microsoft Word, Excel, Outlook, the administration system (MEBS) and the claims adjudication system (TELUS) in order to enter and track program data, process claims and, prepare reports and correspondence.
- To be a team player with strong interpersonal skills.
- To assist with coverage at reception as required.
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.
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.
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.
We are committed to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential.
-
Claims Adjudicator
1 month ago
Halifax, Nova Scotia, Canada People Corporation Full timeJob Title: Claims AdjudicatorAbout the Role: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 in a timely and accurate manner, providing excellent customer service, and maintaining departmental standards.Key Responsibilities:Analyze and...
-
Claims Adjudicator
1 month ago
Halifax, Nova Scotia, Canada People Corporation Full timeJob Title: Claims AdjudicatorAbout the Role: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 in a timely and accurate manner, providing excellent customer service, and maintaining departmental standards.Key Responsibilities:Analyze and...
-
Claims Adjudicator
1 month ago
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 medical, dental, and vision claims, as well as accident benefits claims, in a timely and accurate manner.Key ResponsibilitiesAnalyze and adjudicate claims according to contract...
-
Claims Adjudicator
1 month ago
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 medical, dental, and vision claims, as well as accident benefits claims, in a timely and accurate manner.Key ResponsibilitiesAnalyze and adjudicate claims according to contract...
-
Claims Adjudicator
1 month ago
Halifax, Nova Scotia, Canada People Corporation Full timeAbout the RoleWe are seeking a skilled Claims Adjudicator to join our team at People Corporation. As a Claims Adjudicator, you will play a critical role in providing timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.Key ResponsibilitiesAnalyze and adjudicate claims...
-
Claims Adjudicator
1 month ago
Halifax, Nova Scotia, Canada People Corporation Full timeAbout the RoleWe are seeking a skilled Claims Adjudicator to join our team at People Corporation. As a Claims Adjudicator, you will play a critical role in providing timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.Key ResponsibilitiesAnalyze and adjudicate claims...
-
Claims Adjudicator
2 months ago
Halifax, Nova Scotia, Canada People Corporation Full timeAbout the RoleWe are seeking a skilled Claims Adjudicator to provide timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.Key ResponsibilitiesAnalyze and adjudicate claims according to contract provisions with the provider agreement up to $2,500.Maintain responsibility for...
-
Claims Adjudicator
2 months ago
Halifax, Nova Scotia, Canada People Corporation Full timeAbout the RoleWe are seeking a skilled Claims Adjudicator to provide timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.Key ResponsibilitiesAnalyze and adjudicate claims according to contract provisions with the provider agreement up to $2,500.Maintain responsibility for...
-
Claims Adjudicator Position
1 week ago
Halifax, Nova Scotia, Canada People Corporation Full timeJob DescriptionWe are seeking a skilled Claims Adjudicator to provide timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.The ideal candidate will have 1-2 years of experience adjudicating medical/dental/vision claims or accident benefits claims, with strong analytical...
-
Claims Adjudicator
2 months ago
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, providing excellent customer service, and maintaining departmental standards.Key ResponsibilitiesAnalyze and adjudicate claims according to contract provisions and provider...
-
Claims Adjudicator
2 months ago
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, providing excellent customer service, and maintaining departmental standards.Key ResponsibilitiesAnalyze and adjudicate claims according to contract provisions and provider...
-
Claims Adjudicator
2 weeks ago
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...
-
Claims Adjudicator
2 months ago
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, providing excellent customer service, and maintaining departmental standards.Key ResponsibilitiesAnalyze and adjudicate claims according to contract provisions and provider...
-
Claims Adjudicator
2 months ago
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, providing excellent customer service, and maintaining departmental standards.Key ResponsibilitiesAnalyze and adjudicate claims according to contract provisions and provider...
-
Claims Adjudicator
1 week ago
Halifax, Nova Scotia, Canada People Corporation Full timeJob SummaryWe are seeking a Claims Adjudicator to provide timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.Key ResponsibilitiesAnalyze and adjudicate claims according to contract provisions with the provider agreement up to $2,500.Maintain responsibility for evaluating...
-
Claims Adjudicator
4 weeks ago
Halifax, Nova Scotia, Canada People Corporation Full timeAbout the Role:We are seeking a skilled Claims Adjudicator to join our team at People Corporation. As a Claims Adjudicator, you will play a critical role in ensuring timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.Key Responsibilities:Analyze and adjudicate claims...
-
Claims Adjudicator
2 months ago
Halifax, Nova Scotia, Canada People Corporation Full timeAbout the Role:We are seeking a skilled Claims Adjudicator to join our team at People Corporation. As a Claims Adjudicator, you will play a critical role in ensuring timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.Key Responsibilities:Analyze and adjudicate claims...
-
Claims Adjudicator
7 days ago
Halifax, Nova Scotia, Canada People Corporation Full timeJob SummaryWe are seeking a skilled Claims Adjudicator to provide timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients' Benefit Trust Funds.Key ResponsibilitiesAnalyze and adjudicate claims according to contract provisions with the provider agreement up to $2,500.Maintain responsibility for...
-
CMGR-Case Manager
7 days ago
Halifax, Nova Scotia, Canada pt Health Full timeCMGR-Case Manager - Disability Claims SpecialistLifemark Health Group is seeking a skilled CMGR-Case Manager - Disability Claims Specialist to join our team. As a Disability Case Manager, you will be responsible for managing a case load of disability claims for a large unionized organization. You will work with employers, union representatives, and...
-
Claims Adjuster
2 months ago
Halifax, Nova Scotia, Canada Northbridge Financial Corporation Full timeClaims Adjuster Role OverviewWe're seeking a skilled Claims Adjuster to join our Casualty and Litigation team at Northbridge Financial Corporation. As a Claims Adjuster, you'll be responsible for investigating and resolving complex claims, working closely with third parties and counsel to drive claims to their conclusion.Key Responsibilities:Adjudicate...