Group Benefits Claims Lead
RECRUITMENT PARTNERS INC.Edmonton, AB17 days ago
Job description3+ years of experience in group benefits claims management, with a proven record of leading and developing a team 5+ years of group benefits insurance experience with a deep knowledge of claims processing and regulations Bachelor’s Degree in Human Resources, Business Administration or equivalent Excellent organizational, analytical and interpersonal skills with the ability to manage multiple priorities Excellent communication skills with the ability to convey complex information clearly to various stakeholders Proficient in MS Office Suite, Word, Excel, Outlook, and PowerPoint Experience working with Customer Service Software An insurance designation is considered an asset (LOMA, CEBS (GBA), ICA, etc.)
Group Benefits Claims Lead
Our client is searching for a Group Benefits Claims Lead to join their team. This role will be responsible for playing a role in the design and optimization of the claims process, ensuring regulatory compliance, while providing exceptional service to members and other stakeholders. A successful candidate will be a strong problem solver ad decision maker with a focus on providing a client focused approach.
Your success will be defined by your ability to :
- Assist in the evaluation for a new claims adjudication partner
- Provide input to influence and shape continued development on the new administration system
- Assist in leading a new claims management teal by fostering a collaborative environment that prioritizes accuracy, efficiency and employee engagement
- Implement claims processing workflows that ensure timely and compliant handling of all group benefit claims
- Assist with ongoing training and development opportunities for your team to ensure they are equipped with the necessary skills and knowledge
- Maintain a client service culture and embed client engagement by inspiring and motivating the claims team to provide the best claims experience in Canada
- Conduct regular claim file reviews and performance assessments, to identify and evaluate trends to optimize processes and provide recommendations for technology enhancements
- Possess excellent communication strategies to handle disputes and escalations, working with claimants and Plan Sponsors to find fair resolutions
Your strengths include :