- 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
-
Supervisor, Pharmacy Claims Audit
2 days 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 ...
-
Supervisor Claims
4 days 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 ...
-
Freight 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, Ab Claims
1 week 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
3 days 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
6 days 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
1 week 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 ...
-
Claims Adjuster
2 days 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 February 13, 2023_ · **Job Overview**: · This position provides support to agents, clients, and customers by adjudicating claims, providing claims ...
-
T + W Claims Adjuster
6 days 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 May 15, 2023_ · **Job Overview**: · This position provides support to agents, clients, and customers by adjudicating claims, providing claims statu ...
-
Claims Learning Coach
1 week ago
Co-operators General Insurance Company Mississauga, CanadaCompany: CGIC · Department: Claims · Employment Type: Regular Full-Time · Work Model: Hybrid · Language: English is required, French is an asset. · **The Opportunity**: · We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and ...
-
Specialist-return to Work
1 day ago
Peel Regional Police Mississauga, CanadaAs a **Specialist-Return to Work **within our **HR Health and Safety **department, you will be responsible for developing, implementing and monitoring individualized return to work plans for all members returning from an STD, LTD or WSIB leave, as well as assessing all accommodat ...
-
Financial Services Clerk
6 days ago
Trillium Health Partners Mississauga, Canada**Job Description**: · _____________________________________________________________________ · **Position**:Financial Services Clerk · **Dept**:Finance - Accounts Receivable · **Posting ID**: · **Status**:Full-Time (x3) · **Role Level**:Admin Clerical (AC03) $21.86-$27.29 · **Si ...
-
Document Clerk
1 week ago
Echelon Insurance Mississauga, Canada**About Us**: · Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies, and is an equal oppo ...
-
Specialist, Attendance Management
2 days ago
City of Mississauga Mississauga, CanadaReq ID: 24399 · Vacancy Type: Temporary - 14 months · Number of Positions: 1 · Closing Date: 12/08/2023 · **Job Summary**: · Reporting to the Supervisor, Attendance Management & Lost Time, the Specialist, Attendance Management is responsible for processes related to; managing los ...
-
Truck Shop Supervisor
2 days ago
Cummins Inc. Mississauga, Canada**TRUCK SHOP SUPERVISOR** · **Description** · **Truck shop supervisor** · Our culture believes in _POWERING YOUR POTENTIAL_. We provide global opportunities to develop your career, make your community a better place and work with today's most innovative thinkers to solve the worl ...
-
Disability Case Manager/wsib Consultant
2 days ago
Trillium Health Partners Mississauga, Canada**Job Description**: · **Position**:Disability Case Manager/WSIB Consultant · **File #**: · **Status**: Temporary Full-time, 1-Year Contract · **Role Level**: Professional Group (PG09) - $38.24 to $47.85 per hour · **Department**: People Safety & Support · **Program**: People Sa ...
-
Absence Case Manager
2 days ago
Gate Gourmet Mississauga, CanadaWe're looking for motivated, engaged people to help make everyone's journeys better. · Job Summary: · The dynamic role of Absence Case Manager is performed for the purposes of managing sick calls from employees, providing medical case management for absent employees and maintaini ...
-
Accounting Supervisor
4 days ago
Pivotal HR Mississauga, CanadaAttention accounting professionals Are you ready to take your career to the next level? Our client in the Mississauga region is seeking a talented **Accounting Supervisor** to join their team and make an impact in the finance department. As a key member of the team, you'll have t ...
-
Safety & Compliance Officer
1 day ago
Cardinal Couriers Mississauga, CanadaSafety & Compliance Officer, Cardinal Couriers · Are you a Safety & Compliance professional in the transportation industry looking for a new challenge? Cardinal Couriers is a mid-sized, family-owned carrier with terminals in Ontario and Quebec, and approximately 250 company drive ...
-
Parts Manager
2 days ago
Canadian Tire. Meadowvale Mississauga, Canada**CANADIAN TIRE EXPERIENCE AN ASSET** · **MUST BE ONTARIO RESIDENT** · The Parts Manager is responsible for Managing and directing the Parts Department as well as distribution of parts to customers and employees, both commercial and the general public. They will run a profitable ...
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.
