CAREERS

We’re looking for talented individuals
who thrive on helping small businesses and their employees.

Claims Adjudicator

Under the supervision of the Claims Team Lead and as a member of the Claim team, you will be accountable for ensuring that all claims are adjudicated and administered according to the different Benecaid products in an accurate and timely manner.

Responsibilities

  • Adjudicate claims for the Health Spending Account, Cost Plus and other products according to the CRA guidelines on eligible medical expenses
  • Determine eligibility of claims based on the client’s information on system
  • Determine which claims need further documentation
  • Request and review additional requirements by calling the clients or the service providers
  • Determine outside resources needed to evaluate claims
  • Determine the amount of reimbursement and process payment through manual cheque or Electronic fund transfer

Key Qualifications/Competencies

  • College diploma or university degree
  • Open to learning the claims adjudication process
  • Self starter with demonstrated ability to prioritize case load
  • Ability to do research and quick in resolving issues
  • Ability to make decisions independently and collaboratively within a fast-paced team environment
  • Excellent verbal and written communication skills to effectively communicate with internal and external clients
  • Excellent customer service qualities
  • Strong analytical skills for research, review and assessment of claims
  • Detail-oriented with high degree of accuracy in data entry
  • Strong reasoning and sound judgment skills
  • Willing to work extended hours when needed

If you’re interested in applying please send your resume to ralatraca@benecaid.com.

“It’s easy to be creative and enthusiastic about your work
in such a dynamic and supportive environment.”

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Christine Breaw
Sr. Director, Marketing