Claims Adjudicator
Top Benefits
About the role
Who We Are
At GroupSource , we believe great work starts with a strong foundation, built on purpose, people, and partnership. For over 40 years, we’ve partnered with Canadian organizations to design and administer affordable, customized group benefit plans. We’re more than just a service provider; we’re an extension of our clients, committed to delivering exceptional service with care and integrity.
That same commitment extends to our people. We put relationships first because when employees feel seen, supported, and empowered, everyone thrives. From your first day, you’ll step into a collaborative, inclusive, and flexible environment where your voice matters and your growth is championed.
At GroupSource, our client-first mindset drives everything we do. You’ll be part of a team that shows up for one another and for our clients, backed by a leadership team that listens, adapts, and leads with purpose. Together, we turn partnership into impact, delivering real results for our clients and meaningful experiences for our people.
Why This Role Matters
The Claims Adjudicator is responsible for adjudicating (decision about a claim submission) health and dental claims. They also are responsible for assisting clients by answering their telephone inquiries, all while achieving continued success in meeting our standard for service level agreements (SLA’s) and provide excellent customer service.
This role has a hybrid work arrangement , required to work on site in our Calgary office three days a week in office and two days at home.
What You’ll Be Responsible For
- To learn standard processing rules for group benefits health and dental claims
- To meet or exceed 250 lines of claims processing
- To become a communication superstar with the ability to assist members and providers with telephone and email inquiries within three (3) months
- You will work effectively within a team while setting personal productivity goals
- You will master the Claim Secure program within the first three (3) months
- You will effectively communicate through emails and phone calls
- You will adjudicate basic and complex health and dental claims
- You will answer phone calls and assist members and providers with claim/coverage inquiries
- You will assist colleagues and members with claim inquiries
- You will file correspondence and claims
What You Bring to the Table
- Experience in the group benefits industry
- 1-2 years claims adjudication experience
- High accuracy and attention to detail
- Excellent customer service with outstanding oral and written communication skills
- Above average organizational and planning skills
- You are tech savvy
- Able to handle a large, repetitive workload
- Strong data-entry skills with number-pad familiarity
Critical Competencies
You will succeed in this role if you are:
- Service-Oriented – You take pride in delivering an exceptional member experience with empathy and attention to detail.
- Organized – You manage multiple priorities effectively, ensuring accuracy and timeliness in every task.
- Resilient – You maintain composure and professionalism under pressure or when handling complex inquiries.
- Collaborative – You thrive in a team environment and contribute to a culture of shared success and respect.
YOUR COMPENSATION
At the time of this posting, the estimated annual base salary pay range for this position is $45,000-$50,000. Individual compensation within this range is determined by factors such as job-related skills, relevant experience, and education/training. This range reflects the annual base salary only pay and does not encompass our comprehensive total rewards, benefits, and potential bonuses that we proudly offer.
Why Join GroupSource?
- Flexible work options designed to support your life, not just your job
- Comprehensive group benefits, retirement savings plans, and health and fitness programs to support your well-being
- A collaborative, inclusive culture where authentic relationships fuel shared success
- Personalized development opportunities and clear paths for growth and leadership
- Programs that recognize your contributions and support your wellness—because thriving at work starts with feeling supported as a whole
Accommodation and Inclusion
GroupSource is committed to equity, diversity, and inclusion. If you need accommodation during any stage of the hiring process, please let us know! We’re here to help.
If you’re ready to do meaningful work and grow your career with GroupSource, we’d love to hear from you. Click Apply to submit your application.
About GroupSource LP
We know a great employee benefits plan is key to attracting and retaining great employees.
As a Third Party Administrator (TPA), we not only help design an employee benefits plan that fits your company’s specific needs, but we also act as plan administrator, service department and claims manager for each of our client companies.
These included services allow our clients to effectively ‘out-source’ the majority of their benefits administration and benefits management duties to us, without having to increase the total cost of their benefits plan. We handle everything up to and including claims administration and adjudication.
So, when you actually need to use your benefits, you’re still dealing with us; the folks who designed your program in the first place. And, best of all, this end-to-end service doesn’t cost you more, in fact it usually creates savings that compound over the years. These services and our end-to-end approach are key differences between GroupSource and other providers.
Claims Adjudicator
Top Benefits
About the role
Who We Are
At GroupSource , we believe great work starts with a strong foundation, built on purpose, people, and partnership. For over 40 years, we’ve partnered with Canadian organizations to design and administer affordable, customized group benefit plans. We’re more than just a service provider; we’re an extension of our clients, committed to delivering exceptional service with care and integrity.
That same commitment extends to our people. We put relationships first because when employees feel seen, supported, and empowered, everyone thrives. From your first day, you’ll step into a collaborative, inclusive, and flexible environment where your voice matters and your growth is championed.
At GroupSource, our client-first mindset drives everything we do. You’ll be part of a team that shows up for one another and for our clients, backed by a leadership team that listens, adapts, and leads with purpose. Together, we turn partnership into impact, delivering real results for our clients and meaningful experiences for our people.
Why This Role Matters
The Claims Adjudicator is responsible for adjudicating (decision about a claim submission) health and dental claims. They also are responsible for assisting clients by answering their telephone inquiries, all while achieving continued success in meeting our standard for service level agreements (SLA’s) and provide excellent customer service.
This role has a hybrid work arrangement , required to work on site in our Calgary office three days a week in office and two days at home.
What You’ll Be Responsible For
- To learn standard processing rules for group benefits health and dental claims
- To meet or exceed 250 lines of claims processing
- To become a communication superstar with the ability to assist members and providers with telephone and email inquiries within three (3) months
- You will work effectively within a team while setting personal productivity goals
- You will master the Claim Secure program within the first three (3) months
- You will effectively communicate through emails and phone calls
- You will adjudicate basic and complex health and dental claims
- You will answer phone calls and assist members and providers with claim/coverage inquiries
- You will assist colleagues and members with claim inquiries
- You will file correspondence and claims
What You Bring to the Table
- Experience in the group benefits industry
- 1-2 years claims adjudication experience
- High accuracy and attention to detail
- Excellent customer service with outstanding oral and written communication skills
- Above average organizational and planning skills
- You are tech savvy
- Able to handle a large, repetitive workload
- Strong data-entry skills with number-pad familiarity
Critical Competencies
You will succeed in this role if you are:
- Service-Oriented – You take pride in delivering an exceptional member experience with empathy and attention to detail.
- Organized – You manage multiple priorities effectively, ensuring accuracy and timeliness in every task.
- Resilient – You maintain composure and professionalism under pressure or when handling complex inquiries.
- Collaborative – You thrive in a team environment and contribute to a culture of shared success and respect.
YOUR COMPENSATION
At the time of this posting, the estimated annual base salary pay range for this position is $45,000-$50,000. Individual compensation within this range is determined by factors such as job-related skills, relevant experience, and education/training. This range reflects the annual base salary only pay and does not encompass our comprehensive total rewards, benefits, and potential bonuses that we proudly offer.
Why Join GroupSource?
- Flexible work options designed to support your life, not just your job
- Comprehensive group benefits, retirement savings plans, and health and fitness programs to support your well-being
- A collaborative, inclusive culture where authentic relationships fuel shared success
- Personalized development opportunities and clear paths for growth and leadership
- Programs that recognize your contributions and support your wellness—because thriving at work starts with feeling supported as a whole
Accommodation and Inclusion
GroupSource is committed to equity, diversity, and inclusion. If you need accommodation during any stage of the hiring process, please let us know! We’re here to help.
If you’re ready to do meaningful work and grow your career with GroupSource, we’d love to hear from you. Click Apply to submit your application.
About GroupSource LP
We know a great employee benefits plan is key to attracting and retaining great employees.
As a Third Party Administrator (TPA), we not only help design an employee benefits plan that fits your company’s specific needs, but we also act as plan administrator, service department and claims manager for each of our client companies.
These included services allow our clients to effectively ‘out-source’ the majority of their benefits administration and benefits management duties to us, without having to increase the total cost of their benefits plan. We handle everything up to and including claims administration and adjudication.
So, when you actually need to use your benefits, you’re still dealing with us; the folks who designed your program in the first place. And, best of all, this end-to-end service doesn’t cost you more, in fact it usually creates savings that compound over the years. These services and our end-to-end approach are key differences between GroupSource and other providers.