Job Description
GroupSource is currently looking for a Claims Adjudicator to join our team. This role has a hybrid work arrangement, required to work on site in our Calgary office with flexibility to work from home a few days a week.
YOUR ROLE
The Claims Adjudicator is responsible for adjudicating (decision about a claim submission) health and dental claims. They also are responsible for assisting clients by answering their telephone inquiries, all while achieving continued success in meeting our standard for service level agreements (SLA’s) and provide excellent customer service.
WHAT TO EXPECT
To learn standard processing rules for group benefits health and dental claims
To meet or exceed 250 lines of claims processing
To become a communication superstar with the ability to assist members and providers with telephone and email inquiries within three (3) months
You will work effectively within a team while setting personal productivity goals
You will master the Claim Secure program within the first three (3) months
You will effectively communicate through emails and phone calls
YOUR IMPACT
You will adjudicate basic and complex health and dental claims
You will answer phone calls and assist members and providers with claim/coverage inquiries
You will assist colleagues and members with claim inquiries
You will file correspondence and claims
THIS IS YOU
You will have:
High accuracy and attention to detail
Excellent customer service with outstanding oral and written communication skills
Above average organizational and planning skills
You are tech savvy
Able to handle a large, repetitive workload
Strong data-entry skills with number-pad familiarity
THIS IS NICE
Experience in the group benefits industry would be considered an asset
Bonus if you speak French.
Post-secondary completion or near completion
EMPLOYEE PERKS
Comprehensive benefits package that focuses on your health and wellness
Our company-wide vacation policy guarantees a minimum of 3 weeks’ vacation
Flex days to help you achieve that work-life balance
Access to GroupSource employee wellness activities
Employer matching RRSP program after one year
YOUR COMPENSATION
At the time of this posting, the estimated annual base salary pay range for this position is $45,000-$50,000. Individual compensation within this range is determined by factors such as job-related skills, relevant experience, and education/training. This range reflects the annual base salary only pay and does not encompass our comprehensive total rewards, benefits, and potential bonuses that we proudly offer.
GroupSource is growing...come grow your career with us!
For over 40-years, GroupSource has provided Canadian organizations with comprehensive, yet affordable employee group benefit plans. As a Third-Party Administrator (TPA), we not only help design an employee benefit plan that fits company's specific needs, we also act as a plan administrator, service department and claims manager for each of our client companies.
Join our Team! Apply Now!
We thank everyone who applies to the Claims Adjudicator role, however, due to the volume of applications we receive we are only able to contact candidates who have been selected for an interview.
YOUR ROLE
The Claims Adjudicator is responsible for adjudicating (decision about a claim submission) health and dental claims. They also are responsible for assisting clients by answering their telephone inquiries, all while achieving continued success in meeting our standard for service level agreements (SLA’s) and provide excellent customer service.
WHAT TO EXPECT
To learn standard processing rules for group benefits health and dental claims
To meet or exceed 250 lines of claims processing
To become a communication superstar with the ability to assist members and providers with telephone and email inquiries within three (3) months
You will work effectively within a team while setting personal productivity goals
You will master the Claim Secure program within the first three (3) months
You will effectively communicate through emails and phone calls
YOUR IMPACT
You will adjudicate basic and complex health and dental claims
You will answer phone calls and assist members and providers with claim/coverage inquiries
You will assist colleagues and members with claim inquiries
You will file correspondence and claims
THIS IS YOU
You will have:
High accuracy and attention to detail
Excellent customer service with outstanding oral and written communication skills
Above average organizational and planning skills
You are tech savvy
Able to handle a large, repetitive workload
Strong data-entry skills with number-pad familiarity
THIS IS NICE
Experience in the group benefits industry would be considered an asset
Bonus if you speak French.
Post-secondary completion or near completion
EMPLOYEE PERKS
Comprehensive benefits package that focuses on your health and wellness
Our company-wide vacation policy guarantees a minimum of 3 weeks’ vacation
Flex days to help you achieve that work-life balance
Access to GroupSource employee wellness activities
Employer matching RRSP program after one year
YOUR COMPENSATION
At the time of this posting, the estimated annual base salary pay range for this position is $45,000-$50,000. Individual compensation within this range is determined by factors such as job-related skills, relevant experience, and education/training. This range reflects the annual base salary only pay and does not encompass our comprehensive total rewards, benefits, and potential bonuses that we proudly offer.
GroupSource is growing...come grow your career with us!
For over 40-years, GroupSource has provided Canadian organizations with comprehensive, yet affordable employee group benefit plans. As a Third-Party Administrator (TPA), we not only help design an employee benefit plan that fits company's specific needs, we also act as a plan administrator, service department and claims manager for each of our client companies.
Join our Team! Apply Now!
We thank everyone who applies to the Claims Adjudicator role, however, due to the volume of applications we receive we are only able to contact candidates who have been selected for an interview.
💡 Quick Summary
Seeking a career-building opportunity? The Claims Adjudicator position is now open for candidates interested in the Customer Care Executive sector. This role in Calgary offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Customer Care Executive is a plus.
