- Review, examine and direct the processing of unusual or complex claim cases or claims in excess of $5,000.00
- Obtain staff Claims Analysis daily to provide to the Claims Manager and investigate any problems
- Provide guidance and direction on a daily basis to claims unit
- Perform job supervisory duties required to assure proper training, instruction and development of staff
- Quality Control of Staff claims
- Assign all incoming claims to ensure Examiners receive appropriate number and type of claims and to redistribute as required
- Investigate and research complex claim issues or new procedures in the medical/dental field
- Regularly review and update the Claims manual
- Define, test and approve all system requests and enhancements in conjunction with the Claims Manager
- Review and authorize department supply order.
- Correspond and communicate via telephone, written correspondence or face-to-face with members, providers, consultants or other internal or external customers
- Monitor claim costs
- Perform any other duties delegated by the Claims Manager
- A minimum of 2-4 years in a claims adjudication role in the health & dental space
- Strong knowledge of claims adjudication processes and procedures
- Superior verbal and written communication skills
- Exceptional attention to detail with strong organization skills
- The ability to manage multiple cases simultaneously
- To participate in company sponsored insurance programs such as FLMI, ACS, ALHC, C.E.B.S. and successful completion of these courses of study during tenure in the position
- Intermediate computer skills in the use of related computer applications including Microsoft Word, Excel, Outlook and Benefit Plan Administration System (SPAS) and AS400 in order to enter and track program data, process claims and, and correspondence
- To be a cooperative team player with strong interpersonal skills;
- Exceptional customer service skills
- Experience with Adjudicare or other claims adjudication platforms
- Previous experience in a team lead or supervisory position
- 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
-
Claims Supervisor
1 day ago
People Corporation Mississauga, CanadaWe are seeking a Claims Supervisor to join our BPA team in Mississauga. · **_Please note that this position is 100% in-office. Hours: 8:30am - 4:30pm Monday to Friday._** · The Claims Supervisor assists with coordinating the activities for a of approximately 8-10 employees at BPA ...
-
Claims Administration Supervisor
1 week ago
ClaimsPro LP Mississauga, Canada Full timeCompany: · ClaimsPro LP · Claims Administration Supervisor - full-time (Mississauga, ON) · As the - Claims Administration, Emergency Services, you will be responsible for managing the accurate and timely set up, dissemination and assignment of newly reported claims on a basis as ...
-
Technical Supervisor, Claims
5 days ago
Co-operators General Insurance Company Mississauga, CanadaCompany: CGIC · Department: Claims · Employment Type: Regular Full-Time · Work Model: Hybrid · Language: This role operates in English. · **The Opportunity**: · We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient ...
-
Supervisor, Pharmacy Claims Audit
2 weeks ago
Cigna Mississauga, CanadaSupervisor, Pharmacy Claims Audit · **ESSENTIAL FUNCTIONS**: · Lead the pharmacy audit team · Provide coaching, training and oversight of the department to ensure high quality service that will meet both internal and external needs · Identify, recommend and develop strategic init ...
-
Claims Supervisor
2 days ago
SIAdvisors Etobicoke, Canada**SIAdvisors** · **Mission Statement**: · SIAdvisors, (a Custard Insurance Adjusters company) mission is to provide its clients with the highest quality of claim service available in the industry. We are recognized as a premier company, continuing to increase our role as a nation ...
-
Supervisor Claims
2 weeks ago
McCain Foods (Canada) Toronto, Canada**Position Title**:Supervisor Claims · **Position Type**: Regular - Full-Time · **Position Location**:Florenceville Main · **Requisition ID**: 23170 · For us, for family · We know the importance that food plays in people's lives - the power it has to bring people, families and co ...
-
Supervisor, Claims
1 week ago
Wawanesa Insurance North York, Canada**Date**:Mar 19, 2024 · **Location**: North York - Toronto, ON (Hybr, CA Kitchener, ON (Hybrid), CA · **Company**:Wawanesa Insurance · **Job ID**: 7786 · **Working Business Language**: English · **Salary**: At Wawanesa, salary is only one component of a holistic, comprehensive an ...
-
Claims Supervisor
1 week ago
People Corporation Mississauga, ON, Canada $5,000We are seeking a Claims Supervisor to join our BPA team in Mississauga. · Please note that this position is 100% in-office. Hours: 8:30am - 4:30pm Monday to Friday. The Claims Supervisor assists with coordinating the activities for a of approximately 8-10 employees at BPA Missi ...
-
Claims Supervisor
2 days ago
Highlight Motor Freight Inc. Concord, CanadaHighlight Motor Group · Concord, ON · **Highlight Motor Group **is one of the fastest growing transportation companies in GTA. As a result of our driven marketing approach and second-to-none work ethic, we are experiencing tremendous growth. In order to keep up with our growth we ...
-
Supervisor, Claims
5 days ago
Wawanesa Insurance North York, Canada**Date**:Feb 5, 2024 · **Location**: Hybrid - North York-Toronto, O, CA Hybrid - Kitchener, ON, CA · **Company**:Wawanesa Insurance · **Job ID**:7575 · **Working Business Language**: English · **At Wawanesa, we're proud to offer a hybrid work environment that offers flexibility t ...
-
Freight Claims Supervisor
2 weeks ago
Highlight Motor Freight Inc. Concord, CanadaHighlight Motor Group · Concord, ON · **Highlight Motor Group **is one of the fastest growing transportation companies in GTA. As a result of our driven marketing approach and second-to-none work ethic, we are experiencing tremendous growth. In order to keep up with our growth we ...
-
Technical Supervisor, Claims
1 week ago
The Co-operators Burlington, Canada**Position Overview**: · **Company**:CUMIS General Insurance Company · **Number of Positions**: 1 · **Language**: This role operates in English. · **Work Model**:Hybrid · **Alternate Title**: n/a · **Additional Information**: · **The Opportunity**: · We are a leading Canadian fin ...
-
Supervisor, Ab Claims
3 weeks ago
CAA Club Group Thornhill, Canada**About Us**: · We are looking for a Supervisor of Accident Benefit Claims to join our Insurance team · **Who we are**: · As Canada's largest automobile association, we are passionate about keeping our Members safe · - whether they are on the road, at home, or travelling abroad. ...
-
Claim Supervisor, Property
2 days ago
Combined Insurance Toronto, CanadaChubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse gr ...
-
Claim Supervisor, Property
2 days ago
Chubb Toronto, CanadaChubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is disting ...
-
Technical Supervisor, Claims
1 week ago
Co-operators General Insurance Company Hamilton, CanadaCompany: CGIC · Department: Claims · Employment Type: Regular Full-Time · Work Model: Hybrid · Language: English required, French is an asset. · Additional Information: There are 2 positions available. · **The Opportunity**: · We are a leading Canadian financial services co-opera ...
-
Claim Supervisor, Property
2 weeks ago
CHUBB Toronto, Canada Regular - Full timeChubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is disting ...
-
T + W Claims Adjuster
3 weeks ago
Safe-Guard Products International LLC Mississauga, Canada-Job Title: Claims Adjuster - Tire & Wheel (Bilingual French /English) · ** Location**: Remote in US-GA · - Training class will start June 19, 2023_ · **Job Overview**: · This position provides support to agents, clients, and customers by adjudicating claims, providing claims sta ...
-
T + W Claims Adjuster
3 weeks ago
Safe-Guard Products International LLC Mississauga, CanadaJob Title: Claims Adjuster - Tire & Wheel (Bilingual French /English) · ** Location**: Remote in US-GA · - Training class will start August 14, 2023_ · **Job Overview**: · This position provides support to agents, clients, and customers by adjudicating claims, providing claims st ...
-
T + W Claims Adjuster
1 week ago
Safe-Guard Products International LLC Mississauga, CanadaJob Title: Claims Adjuster - Tire & Wheel (Bilingual Spanish /English) · **Location**: Remote in US-GA · - Training class will start June 19, 2023_ · **Job Overview**: · This position provides support to agents, clients, and customers by adjudicating claims, providing claims stat ...
Claims Supervisor - Mississauga, Canada - People Corporation
Description
Job Description
We are seeking a Claims Supervisor to join our BPA team in Mississauga.
Please note that this position is 100% in-office. Hours: 8:30am - 4:30pm Monday to Friday.
The Claims Supervisor assists with coordinating the activities for a of approximately 8-10 employees at BPA Mississauga location and provides support for all staff at our field offices who adjudicate multiple benefit lines.
The Claims Supervisor will:
To be successful as a Claims Supervisor with BPA, you will need:
All-star candidates will have:
What's in it for you:
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.
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.
Providing an inclusive, accessible environment, where all employees and clients feel valued, respected and supported is something we're committed to. We are dedicated 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.
