Claims Review Specialist - Winnipeg, Canada - Canada Life Assurance Company

Canada Life Assurance Company

Verified Company

Winnipeg, Canada

2 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

Claims Review Specialist

**Description: - Permanent Full Time- We are looking for a Claims Review Specialist- Reporting to the Supervisor, Claims Review the Claims Review Specialist is a key member of the Audit and Claim Verification team responsible for completing claim audit processes for a key Canada Life client. The main function of a Claims Review Specialist is to conduct standard claims reviews of providers and members. The Claims Review Specialist will also handle escalations and non-responses from other units within Canada Life.
What you will do- Conduct claims reviews, including assessment of documentation for preselected claims
Handle referrals from other business units, to investigate concerns identified and follow up on non-responses
Prepare communications to be sent to members and providers seeking confirmation or clarification of claim information
Receive, file and action claim review documentation from providers and members
Identify fraud risk factors of claims reviewed and escalate or refer for further investigation if appropriate

What you will bring- Post-secondary degree/diploma or equivalent work experience
Education or work experience in an audit/quality/fraud discipline considered an asset
Experience within a paramedical or other clinic setting considered an asset
Excellent communication skills, both written and oral
Ability to manage multiple demands with tight deadlines is necessary.
Strong technical skills
Ability to work independently and collaboratively at all levels
Understanding of Health Claims processes and business knowledge would be an asset.
-
Bilingual (English and French) is required

Enhanced Security Screening is a requirement of this position.
Be your best at Canada Life
The base salary for this position is between
$39,300.

00:
- $53,200.00 **annually. This represents base salary only and does not represent other variable compensation components of our total compensation ( i.e. annual bonus, commission etc). If you are selected to move forward in our recruitment process, your recruiter will be able to discuss additional details of our total rewards program with you.

Be your best at Canada Life
Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success.
You can be your best here. You're part of a diverse and inclusive workplace where your career and wellbeing are championed. You'll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences.
Together, as part of a great team, you'll deliver on our shared purpose to improve the wellbeing of Canadians. It's our driving force. Become part of a strong and successful company that's trusted by millions of Canadians to do the right thing.
Canada Life serves the financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we're one of Canada's leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations.
We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. 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.
Canada Life would like to thank all applicants, however only those who qualify for an interview will be contacted

- #LI-Hybrid
Requisition ID:

869
Category:Claims Management
Location:Winnipeg, MB
Date:Apr 15, 2024