Posted 10 days ago
Group, Claims Examiner II
@ First Canadian Insurance Corporation
Edmonton, Alberta
Overview
First Canadian Group Benefits is hiring a Claims Examiner II, a full-time in-office role in Edmonton. The work is adjudicating health and dental claims against policy coverage with high accuracy, handling member and client inquiries in a CRM within service standards, and meeting team production and quality targets. The posting requires 3-5 years of Canadian group benefits claims experience and fluent English; the employer offers vacation, a group RRSP match, a health spending account and on-site gym.
Responsibilities:
- Adjudicate health and dental claims against policy coverage
- Track and respond to member and client inquiries in a CRM
- Meet claims team production and quality standards
- Perform other duties as assigned
Requirements summary:
- 3-5 years health and dental claims experience in Canadian group benefits
- Fluent English, verbal and written
- Intermediate Microsoft Word and Excel
- University, diploma or certificate preferred
- Ability to multitask and meet tight deadlines
Tools & skills
Source and dates
Employer career site / ATS feed · ultipro
- Employer posting date
- 2026-11-04
- First seen by our source
- 2026-11-04
- Source record updated
- 2026-11-04
These dates describe the source record, not a live verification that the employer is still hiring. Check the original posting.
Job details
| Seniority | Mid level |
| Department | Customer service |
| Experience | 3+ years |
| Hours per week | 40 (estimated) |
| Schedule | day |
| Travel | air: none · ground: none |
| Work setting | Office |
| Position | Mostly sitting |
| Physical demands | physical low · computer high |
| Languages | English, French |
| Background checks | credit, criminal record, references |
| Education | College diploma (preferred) |
| Perks mentioned | Generous paid time off, Retirement plan, Employee discount, Wellness |
Summary and details written by AI from the posting; the employer’s posting is the authority.
First Canadian Insurance Corporation
| Field | Value |
|---|---|
| Open jobs on Jobsy | 16 |
Bring What You Know. Help Build What's Next.
First Canadian Group Benefits is growing nationally, and we're investing in the people, technology and capabilities that will support our next stage of growth.
A division of an established Canadian financial services organization, we have the stability and resources behind us to build for the future while remaining small enough that talented people can have a meaningful influence on where we're going.
Our employees work directly with senior Group Benefits leaders, including our President and Vice President. Ideas move quickly, expertise is valued and you'll have the opportunity to see the impact of your work.
We're looking for people who want more than a narrowly defined role. People who can get into the details, solve problems and understand the operation while also stepping back, thinking strategically and asking how we can make it better.
If you've built your Group Benefits expertise and are ready to use it to help build what's next, this could be the opportunity you've been looking for.
What We Offer
- Vacation and Earned Time Off program
- Group Retirement Savings Plan with employer match
- Employee benefits plus Health & Wellness Spending Account
- Educational assistance and career development
- One-hour early finish on Fridays
- Employee Assistance Program and employee discount programs
- On-site gym
- 5% bilingualism premium for qualified professional-level French bilingualism, where applicable
Why This Opportunity is Different
Learn more. See more. Grow faster.
In a larger organization, your role may expose you to one part of the Group Benefits lifecycle. At First Canadian, you'll have the opportunity to understand how the pieces connect, work closely with experienced leaders and contribute to a growing national business.
As the business grows, so can the scope of your experience.
Where You Can Make An Impact
- How claims processes and workflows evolve as we continue building our in-house claims capability.
- Opportunities to make the claims experience more efficient and effective for members and clients.
- Procedures and best practices that support accurate, consistent claims adjudication.
- Improvements identified through your day-to-day experience using our systems and processes.
- How knowledge and feedback from the Claims team are incorporated into future improvements.
Growth creates opportunity
As our business has grown, employees have had opportunities to expand their responsibilities and move into leadership positions. We're continuing to build the capabilities and leadership structure our future business will require.
Where you'll work
Our Group Benefits team works together in-office in Edmonton. We believe the stage we're at as a growing business benefits from close collaboration, immediate access to leaders and the ability to solve problems together.
What you'll do
Essential Responsibilities:
- Data entry to adjudicate health and dental claims in accordance with the terms and conditions of policy coverage with a high degree of accuracy.
- Effectively uses a Customer Relationship Management system to track and respond to written and telephone inquiries from plan members and clients within established service standards.
- Meet production and quality standards for the claims team on a consistent basis.
- Other duties as assigned.
Qualifications:
- University/Diploma/Certificate preferred or other academic/professional experience equivalencies may be considered.
- A minimum of 3-5 years health and dental claims experience within the Canadian Group Benefits industry.
- Demonstrated ability to multi task and meet tight deadlines.
- Intermediate skills with Microsoft Office (Word/Excel).
- Fluent in English with proven competencies in verbal and written communication is required.
- Fluent in French with proven competencies in verbal and written communication is an asset.
- Successful completion of a credit, criminal, education, employer reference/verification, and professional designation checks before employment is required.
Check out our company page for all the information on why we believe First Canadian is an employer of choice!
Thank you for considering our organization.
We are an equal opportunities employer and welcome applications from all suitably qualified persons. Accommodations are available upon request.
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