Specialist Claims Examiner Job in Empower

At Empower, we believe that transforming financial lives starts with giving our people the freedom to transform their own. We offer a flexible work environment and celebrate internal mobility, empowering you to grow your career while helping customers achieve financial freedom.

As part of our claims examiner team, you will play a vital role in reviewing, investigating, and assessing group health and dental benefit claims. You will be responsible for making payment decisions and ensuring performance targets are met. Join us to make an impact in an environment where we prioritize purpose, well-being, and work-life balance.

Accountabilities:

• Review and Investigate Claims: Assess Canadian health and dental claims based on group policy contracts, ensuring compliance with guidelines.

• Follow-Up with Providers: Conduct follow-ups with health and dental service providers for incomplete claims information.

• Adjudicate Claims: Make accurate payment decisions according to adjudication guidelines, ensuring fairness and accuracy.

• Adherence to Values: Embody Empower s core values: Customer View, Integrity, Partnership, and Communities, in all aspects of the role.

Qualifications and Competencies:

• Experience: 1-3 years of relevant experience in claims examination or related field.

• Analytical Skills: Strong ability to handle large volumes of work with a high level of accuracy and analytical ability.

• Communication Skills: Excellent written and verbal communication skills for clear and effective interaction.

• Organizational Skills: Proven organizational skills with the ability to manage tasks efficiently.

• Independence and Teamwork: Ability to work independently with minimal supervision, as well as collaboratively within a team environment.

• Customer Service Focused: A strong customer service focus with the ability to address claims issues with professionalism and care.

• Reliability: Consistent attendance and a reliable team member, contributing positively to team dynamics.

• Purpose-driven: Ability to excel in a Purpose/Vision-driven environment with a passion for helping others.

Compensation and Benefits:

• Competitive Salary and Bonus Program: Rewarding performance through a competitive salary, annual bonus, and employee recognition program.

• Comprehensive Benefits Package: Access to a personalized benefits package that supports the needs of you and your family.

Equal Opportunity Employer:

Empower is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to age, race, color, national origin, ancestry, sex, sexual orientation, gender, gender identity, gender expression, marital status, pregnancy, religion, physical or mental disability, military or veteran status, genetic information, or any other status protected by applicable state or local law.