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From coast-to-coast, our inspiring colleagues are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. With our team, you’ll bring this purpose to life every day by living our Values, being open to change, and pursuing your goals.
At Johnson Insurance, we’ll give you countless opportunities to learn and grow, alongside a diverse and passionate community of experts – the best the industry has to offer. You’ll be empowered to be your best self, do your best work, and make a meaningful impact. Here, you can: shape the future of insurance, win as a team, and grow with us.
About the role
We’re looking for a Group Benefits Claims Specialist to join our growing team!
Working within our Group Benefits team in our Ontario and Newfoundland offices, you will be responsible for effective claims adjudication, investigation, and issue resolution for Group Health and Dental claims, while providing superior customer service for assigned groups based on our Client Service Agreements.
What you’ll do here:
Knowledge of industry standards in order to educate members with respect to their benefits (i.e. Assistive Devices Program, Ontario Drug Benefit Plan, Canadian Life Health Insurance Association, etc.)
Adjudicate claim based on policy/industry guidelines, and know how to explain payments, declines, etc.
Investigate complex claims by referring to government programs, manuals, underwriter.
Logged onto a busy phone queue while at the same time process Extended Health Care, Semi-Private Hospital and Dental claims.
Make outbound calls to providers and members to assist in claim resolution.
Identify when the system has paid a claim differently from how the policy dictates.
Quality and quantity of work is monitored against set key performance indicators
Qualifications
What you bring to the table:
2+ years’ experience in Group Benefit Claims or Administration is an asset
Experience dealing with customers with the ability to exhibit patience and express sincere empathy
Excellent written and verbal communication skills
College diploma or University degree preferred
Superior organizational and computer skills
Must be detail-oriented and able to problem solve in a fast-paced environment
Ability to remain focused while handling multiple tasks at the same time.
Advanced Alpha & numerical keyboarding skills with accuracy
Be present and an active contributor to the team
Bilingual (French/English) would considered an asset
Here are a few reasons why others have joined our team:
An award-winning, inspiring workplace that supports its people and recognizes great work
Stimulating, challenging projects and development opportunities to help you grow your skills and career
A comprehensive financial rewards program that recognizes your success
An extensive, flexible benefits package
An industry leading Employee Share Purchase Plan where we match 50% of net shares purchased
A $350 annual wellness account that promotes an active lifestyle
Flexible Work Arrangements
Right now, we support 100% remote work, if your role permits. Once it’s safe to do so, we will move to a hybrid approach which will give everyone the best of both worlds – a mix of home and in-office workdays. Schedules will be determined in partnership between individuals, managers, and the team.
Closing Statement
We are an Equal Opportunity Employer
If we can provide a specific adjustment to make the recruitment process more accessible for you, please let us know when we reach out about a job opportunity. We’ll work with you to meet your needs.
Click here to review other important information about the hiring process, including background checks, internal candidates, and eligibility to work in Canada.
This posting closes on April 20, 2022 at 11:59pm EST.
