About the role
We are hiring a Junior Claims Adjudicator to join our BPA team in Vaughan. This is a term position ending in March 2027.
The Junior Claims Adjudicator provides timely and accurate adjudication and
reimbursement of benefit claims submitted by members covered under the L.I.U.N.A.
Local 183 Member’s Benefit Trust Fund. He or she provides courteous and professional
customer service while maintaining departmental standards.
This is a full-time, in-office position with hours from Monday to Friday, 8:30 a.m. to 4:30 p.m.
Key Responsibilities:
-
Responsible for analyzing and adjudicating paper or electronically submitted claims, according to contract provisions and maintaining a claims assessment quota of 140 claims per day, depending on the claim complexity.
-
Responsible for evaluating all claims within the 5-day service standard of the Company.
-
Correspond and communicate via telephone, written correspondence or face-to-face with members, consultants, providers and other internal and external customers.
-
Apply guidelines, determine coverage, complete eligibility verification, and identify discrepancies.
-
Verify data entry for accuracy and completeness.
-
Provide Claims Team Lead with dental claims that need further review to dental consultant.
-
Data entry of claims sent to dental consultant is added and confirmed on a spreadsheet.
-
Maintain security and confidentiality of client records.
-
Other duties as may be assigned from time to time by Management
BPA is a division of People Corporation and has served members and beneficiaries in their local communities since 1958. BPA is dedicated to providing a superior benefits experience to our members, businesses, and trusts in the local communities in which they live and operate.
Providing an inclusive, accessible environment, where all employees and clients feel valued, respected and supported is something we're committed to. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential. If you require an accommodation or an alternative format of any posting please reach out to careers@peoplecorporation.com .
About People Corporation
At People Corporation®, we are making a difference in the lives of more than one million Canadian employees and their families by providing employee group benefits, group retirement, wellness, and human resource solutions.
People Corporation is dedicated to helping businesses succeed. With offices and partner firms across the country, we offer expertise in your local market, while being supported by the resources of one of Canada’s fastest growing companies.
We specialize in:
Group Benefits Consulting and Advisory Services Third Party Administration Customized Billing and Reporting Sustainable Solutions Cost Containment Benchmarking Multiple Funding Arrangements Integrating Several Carrier Solutions into a Single Solution Preferred Supplier and Pharmacy Networks Disability Management Health Spending Accounts Wellness Solutions Value-Added Programs Best-in-Class Service Support backed by our Concierge Service Program
Our diverse team of experts provide industry-specific insight, and offer customized solutions designed to fit the unique needs of your business and your most valuable asset – your people. Visit peoplecorporation.com to experience the benefits of people.
About the role
We are hiring a Junior Claims Adjudicator to join our BPA team in Vaughan. This is a term position ending in March 2027.
The Junior Claims Adjudicator provides timely and accurate adjudication and
reimbursement of benefit claims submitted by members covered under the L.I.U.N.A.
Local 183 Member’s Benefit Trust Fund. He or she provides courteous and professional
customer service while maintaining departmental standards.
This is a full-time, in-office position with hours from Monday to Friday, 8:30 a.m. to 4:30 p.m.
Key Responsibilities:
-
Responsible for analyzing and adjudicating paper or electronically submitted claims, according to contract provisions and maintaining a claims assessment quota of 140 claims per day, depending on the claim complexity.
-
Responsible for evaluating all claims within the 5-day service standard of the Company.
-
Correspond and communicate via telephone, written correspondence or face-to-face with members, consultants, providers and other internal and external customers.
-
Apply guidelines, determine coverage, complete eligibility verification, and identify discrepancies.
-
Verify data entry for accuracy and completeness.
-
Provide Claims Team Lead with dental claims that need further review to dental consultant.
-
Data entry of claims sent to dental consultant is added and confirmed on a spreadsheet.
-
Maintain security and confidentiality of client records.
-
Other duties as may be assigned from time to time by Management
BPA is a division of People Corporation and has served members and beneficiaries in their local communities since 1958. BPA is dedicated to providing a superior benefits experience to our members, businesses, and trusts in the local communities in which they live and operate.
Providing an inclusive, accessible environment, where all employees and clients feel valued, respected and supported is something we're committed to. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential. If you require an accommodation or an alternative format of any posting please reach out to careers@peoplecorporation.com .
About People Corporation
At People Corporation®, we are making a difference in the lives of more than one million Canadian employees and their families by providing employee group benefits, group retirement, wellness, and human resource solutions.
People Corporation is dedicated to helping businesses succeed. With offices and partner firms across the country, we offer expertise in your local market, while being supported by the resources of one of Canada’s fastest growing companies.
We specialize in:
Group Benefits Consulting and Advisory Services Third Party Administration Customized Billing and Reporting Sustainable Solutions Cost Containment Benchmarking Multiple Funding Arrangements Integrating Several Carrier Solutions into a Single Solution Preferred Supplier and Pharmacy Networks Disability Management Health Spending Accounts Wellness Solutions Value-Added Programs Best-in-Class Service Support backed by our Concierge Service Program
Our diverse team of experts provide industry-specific insight, and offer customized solutions designed to fit the unique needs of your business and your most valuable asset – your people. Visit peoplecorporation.com to experience the benefits of people.