Spec Claims Examiner-2

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and our communities, we work hard to create a welcoming and inclusive environment, and our associates dedicate thousands of hours to volunteering for causes that matter most to them.
Chart your own path and grow your career while helping more customers achieve financial freedom. Empower Yourself.
As a part of our claims examiner team, you will have the opportunity to support our business by reviewing, investigating and assessing group health and dental benefit claims submitted by our plan members. You will make payment decisions, and work to ensure your performance targets are met.
We offer competitive salary and bonus program that rewards your performance in achieving individual and team objectives. As well, an employee recognition program rewards exceptional performance. In addition to salary, annual bonus, and employee recognition programs, you are entitled to a comprehensive benefit package, with options to personalize the benefits package to meet the needs of you and your family.
Accountabilities:
Review, investigate and adjudicate Canadian Health and Dental claims in accordance with Group policy contracts
Conduct follow up with health and dental service providers for incomplete claims information
Make accurate payment decisions according to adjudication guidelines
Living our values of Customer View; Integrity; Partnership; and Communities
Qualifications and Competencies:
Must be able to handle large volumes of work with a high level of accuracy
Well developed analytical skills
Must have excellent written and verbal communication skills
Proven organizational skills
Candidate must be able to work in a team environment as well as work independently with minimal supervision
Reliable team member with good attendance
Customer Service Focused
Ability to excel within a Purpose/Vision driven environment
Required relevant experience 1-3 Years
This job description is not intended to be an exhaustive list of all duties, responsibilities and qualifications of the job. The employer has the right to revise this job description at any time. You will be evaluated in part based on your performance of the responsibilities and/or tasks listed in this job description. You may be required perform other duties that are not included on this job description. The job description is not a contract for employment, and either you or the employer may terminate employment at any time, for any reason, as per terms and conditions of your employment contract.
We are an equal opportunity employer with a commitment to diversity. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to age, race, color, national origin, ancestry, sex, sexual orientation, gender, gender identity, gender expression, marital status, pregnancy, religion, physical or mental disability, military or veteran status, genetic information, or any other status protected by applicable state or local law.