Titre du poste ou emplacement

Claims Analyst

Nouveau-Brunswick
Détails de l'emploi :
En personne
Temps plein
Expérimenté
Avantages :
Modalités de travail flexibles

Type de poste:
Permanent

À la recherche d'une carrière épanouissante qui changera réellement votre vie et celle des autres? Vous êtes au bon endroit.

À titre de partenaire national en solutions de santé, nous plaçons les gens au cœur de tout ce que nous faisons - en commençant par notre équipe de plus de 8 000 employés et employées qui mettent à profit leurs expériences personnelles et professionnelles diversifiées dans le cadre de leur travail à Medavie. Par l'entremise de la collaboration et de l'innovation, notre équipe crée des solutions d'assurance, de soins primaires et de services médicaux d'urgence à l'avant-garde de l'industrie qui viennent en aide à des millions de Canadiens et Canadiennes chaque année.

Notre mission est d'améliorer le bien-être de la population canadienne afin que chaque personne puisse profiter pleinement de la vie, et cela se reflète dans notre culture d'entreprise primée. Nous célébrons l'individualité des membres de notre personnel et accordons de la valeur à la diversité de leurs points de vue et de leurs compétences. C'est pourquoi en plus de vous offrir une rémunération concurrentielle et une gamme complète d'avantages sociaux, nous vous donnons accès à des possibilités de croissance professionnelle et personnelle, à des modalités de travail flexibles, à des expériences enrichissantes, ainsi qu'à un leadership bienveillant. À Medavie, chaque personne peut donner le meilleur d'elle-même, se sentir à sa place et atteindre son plein potentiel. Joignez-vous à nous en postulant un poste dès aujourd'hui.

The IRCC (Immigration, Refugees and Citizenship Canada) Unit, specializes in the payment of Federal benefits related to health and dental needs including pharmaceutical products. As a member of the Federal Claims team the incumbent will adjudicate claims received from Providers and clients and, if necessary, will communicate with the providers to clarify information.

Work Arrangement: This is a 37.5 hours/week, the hours are daytime, Monday to Friday. We also offer flexibility in work location if you reside in New Brunswick, Nova Scotia, Prince Edward Island or Newfoundland, Ontario and would like to work remotely (from home office). We also have office locations in Moncton, Charlottetown, Dartmouth, St. John's, if you would like to work in office, or a hybrid of both.

We also offer:

  • Monday to Friday daytime, no weekends
  • We offer an extensive virtual paid training program, ensuring you are prepared for your new career
  • We will provide the necessary equipment you will need to get started!
  • A diverse team of colleagues with multiple fields of expertise

Key Responsibilities:

  • Reviews, analyzes, investigates and authorizes payment of health and dental needs including pharmaceutical products guidelines
  • Corresponds with claimants or agents; Providers and/or customers when required
  • Handles and processes claims transactions accurately and efficiently (speed and accuracy);
  • Uses business knowledge and experience to solve routine problems, with the support of senior staff;
  • Produces clear and effective written materials.

Qualifications:

  • Education: Post-secondary education in a related field is an asset (Health Information Technology, Medical Billing and Coding, Medical Office or Business Administration).
  • Work Experience: Minimum 6 months work experience in an office environment.
  • Other Qualifications: Knowledge of claims processing, eligibility and claims systems, as well as medical terminology is considered an asset.
  • Computer Skills: Experience working with the Microsoft Office Suite.
  • Language Skills: Are proficient in English, being bilingual is a strong asset.

Security Clearance: In conjunction with our contract with the Federal Government, you will be required to have Reliability Status Clearance (Enhanced Level B) through the Public Works and Government Services Canada Department prior to your first day. This includes; Fingerprinting, Criminal Record Check and Credit Check.
Working Conditions and Work from Home requirements:

  • Based on the types of data Federal Claims Analyst's have access to, there are physical security requirements for home office setup including:
  • Private working area that has a locked door, secure locked perimeter doors (patio doors require a locking bar or pin), an approved locking file cabinet and a locked office space in a controllable environment.
  • Connection to reliable high-speed internet and an approved home network (we would either provide or specify the acceptable routers/connectivity equipment).
  • Your work area must be private and free of household noise and it must mitigate any risk to privacy (IE: information on your monitor can only be viewed by you)
  • If your home is shared with other's you'll need to use a privacy screen on your monitor.
  • Your work space must always be secured before walking away.
  • You'll need to use a headset when taking calls and not use a speaker phone to ensure other's cannot hear the details of your call.
  • You may be subject to internal physical site inspections

Nous croyons que les membres de notre personnel doivent représenter les collectivités que nous servons et nous encourageons les personnes de tous les horizons à poser leur candidature. Pour vous offrir la meilleure expérience qui soit, nous vous proposons des mesures d'adaptation pour chacune des étapes du processus de recrutement. Il vous suffit d'en faire la demande à l'équipe de recrutement. Nous nous engageons à veiller à ce que le recrutement, la fidélisation et le perfectionnement des employés et employées, de même que leur rémunération, demeurent équitables, tiennent compte des besoins en matière d'accessibilité et respectent l'ensemble des droits de la personne et des lois sur la protection de la vie privée qui s'appliquent. Nous remercions toutes les personnes qui ont manifesté de l'intérêt pour ce poste. Veuillez noter que nous communiquerons seulement avec les personnes retenues pour une entrevue.

Si vous rencontrez des problèmes techniques au cours de votre procédure d'application, veuillez envoyer un courriel à : [email protected] .

Numéro de concours: R-253827
Site Web d'entreprise: https://www.medavie.ca/fr/

À propos Medavie

À propos Medavie

Full careers. Full lives.
Medavie is a national health solutions partner and innovative leader in benefits management, health management, and healthcare delivery. Backed by our team of over 8,200 professionals, we exist to improve the wellbeing of Canadians so every life can be lived to the fullest.

We’re one of Canada's Most Admired Corporate Cultures, one of Canada's Top 100 Employers, and certified Rainbow Registered as an organization that champions diversity, equity and inclusion. We foster a culture of caring where people are celebrated beyond their roles and valued for who they are and what they contribute.

Join us to be there for Canadians — and achieve your full potential in a supportive and dynamic environment.

Work environment
At Medavie, you’ll find more than just a job — you’ll find a pathway to a full and rewarding career. As an organization and employer, we are:

  • People first
    We care about our employees and everyone we serve. By championing a people-first culture, we empower our team to make a profound impact on the lives we touch.
  • Wellbeing focused
    By prioritizing health and wellbeing in all aspects of our work, we help our employees make a difference in the lives of Canadians while leading full lives themselves.
  • Visionary
    Our innovative spirit drives us to lead advancements in health and wellness, delivering meaningful results while also fostering a forward-thinking work environment.

Community involvement
As a not-for-profit organization, we invest in our employees, operations, and the communities where we live and work. The Medavie Foundation is an extension of our commitment to deliver community-centered health care and is focused on improving access to equitable, culturally-aligned care in the areas of healthy living, youth mental health, and post-traumatic stress.

An award-winning culture
We’re one of Canada's Most Admired Corporate Cultures, one of Canada's Top 100 Employers, and certified Rainbow Registered as an organization that champions diversity, equity and inclusion.

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