Claims Adjudicator (On-Site)

Job Description

This position is 100% on-site.

Hours : 8 : 30am - 4 : 30pm Monday to Friday.

We are seeking a Claims Adjudicator to join our BPA team in Halifax.

The Claims Adjudicator provides timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under our clients’ Benefit Trust Funds. He or she provides courteous and professional customer service while maintaining departmental standards.

The Claims Adjudicator will :

• Be responsible for analyzing and adjudicating claims according to contract provisions with the provider agreement up to $2,500.
• Maintain responsibility for evaluating all claims within the 5-day service standard of the Company
• Correspond and communicate via telephone, written correspondence or face-to-face with members, consultants, providers and other internal and external customers
• Apply guidelines, determine coverage, complete eligibility verification, and identify discrepancies
• Verify data entry for accuracy and completeness
• Meet monthly production benchmarks, daily and weekly

To be successful as aClaims Adjudicator with BPA, you will need :

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.