Claims Analyst

Position Type:

If you’re looking for a fulfilling career that can make a real difference in your life, and the lives of others, you’ve come to the right place.

As a national health solutions partner, we put people first in everything we do - and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.

Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest - and it’s reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.

Role Summary:

As a member of the Insurance Business Claims team, the Claims Analyst’s main responsibilities include data entry, processing, and analyzing health and dental claims. The Claims Analyst is required to maintain current knowledge with respect to process and procedure changes. Start date for this role would be February 18th, 2025.

As a Claims Analyst, your key responsibilities will include to:

• Receiving and assessing claims through a scanned image/paperless environment;
• Processing health and dental claims
• Ensuring all details have been provided to accurately process and approve claims;
• Asking questions to determine and clarify details on claim submissions; and
• Organizing work and information to ensure claims are paid accurately and efficiently.
• Provide excellent customer service when calling providers or members.

As the ideal candidate, you possess the following qualifications:

• Education: Post-secondary education in a related field.
• Work Experience: Minimum six months work experience in an office and customer service environment.
• Other Qualifications: Experience with data entry, knowledge of claims processing, eligibility and claims systems, and medical terminology is considered an asset.
• Computer Skills: Experience working with Microsoft Office Suite
• Language Skills: Bilingualism in English and French is considered an asset.

You also demonstrate the following core competencies:

• Knowledge: Has the functional and technical knowledge and skills to do the job at a high level of accomplishment.
• Analytical Thinking: Makes decisions in a timely manner, sometimes with incomplete information and under tight deadlines and pressure and is able to make a quick decision.
• Communication Skills: Practises attentive and active listening and has the patience to hear people out and can accurately restate the opinions of others even when he/she disagrees.
• Customer Orientation: Is dedicated to meeting the expectations and requirements of internal and external customers. Gets first-hand customer information and uses it for improvements in products and services. Acts with customers in mind and establishes and maintains effective relationships with customers and gains their trust and respect.
• Execution and Organizational Skills: Enjoys working hard; is action oriented and full of energy for the things he/ she sees as challenging. Is not fearful of acting with minimum planning and seizes opportunities more than others.
• Team Work Skills: Can quickly find common ground and solve problems for the good of all; can represent his/her own interests and yet be fair to other groups. Can solve problems with peers with a minimum of noise and is seen as a team player and is cooperative. Easily gains trust and support of peers; encourages collaboration and can be candid with peers.

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs. We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.

If you experience any technical issues throughout the application process, please email: Medavie.Recruitment@medavie.ca.