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    Supervisor, Field Data - Mississauga, ON, Canada - People Corporation

    People Corporation
    People Corporation Mississauga, ON, Canada

    1 week ago

    Default job background
    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:
    Review, examine and direct the processing of unusual or complex claim cases or claims in excess of $5,000.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
    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
    T o be successful as a Claims Supervisor with BPA, you will need :
    A minimum of 2-4 years in a claims adjudication role in the health & dental space
    Strong knowledge of claims adjudication processes and procedures
    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
    Experience with Adjudicare or other claims adjudication platforms
    Extended health care and dental benefits
    A retirement savings plan with company contributions
    At People Corporation we are committed to helping businesses succeed. We are a national provider of benefits, retirement, wealth, wellness, and human resource solutions. 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.

    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 employeehas the opportunity toreach their potential.

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