Claims Adjudication Specialist

1 week ago


Winnipeg, Canada People Corporation Full time

We are seeking a Claims Adjudication Specialist to join our team in Winnipeg, MB.

This is an exciting time to join People Corporation. Our high level of acquisition activity and our consistent organic growth continue to define and further enhance our benefits, pension, and HR products and services and how they are delivered to our clients.

As a key member of the Client Experience organization, the Claims Adjudication Specialist will work directly with our plan members, plan sponsors, clients, advisors, and service providers to provide an exceptional experience. This will include accurate claims adjudication as well as representing and being the voice of the People Corporation brand through our client care center. This includes responding to general enquiries about the plans, benefits, and coverage, assist with troubleshooting and resolving problems with the goal of doing so with a single contact.
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**The Claims Adjudication Specialist will**:

- Adjudicate all Health, Dental and Health Care Spending Account claims on the adjudication platform
- Ensure that service standards are met or exceeded
- Obtain, analyze, and verify the accuracy of claim submissions and data
- Assist members with the online portal and mobile app
- Assist service providers with the online portal for submission of claims
- Initiate and/or implement correct action as needed to ensure that an excellent standard of service and a high level of client satisfaction is maintained

**T**o be successful **as a **Claims Adjudication Specialist **with People Corporation, you will need**:

- Minimum of 3 years customer care experience (insurance, and health and dental benefits claims an asset)
- Strong communication skills, both verbal and written
- Strong attention to detail
- Claims adjudication and customer care experience.
- A desire to provide exceptional customer service, and a valuable experience to clients.
- Fluency in French is considered an asset

**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.


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