“Claims adjudication systems” jobs in Canada

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• 2d

  Pharmacist - Assistant Pharmacy Manager - Specialty

  Oakville, ON

  $120k–$130k/yrFull Time

  

  Randstad Canada

  Candidates need an active Ontario pharmacist licence (OCP Part A), supervisory experience in a high-volume retail or specialty pharmacy, and prior experience in specialty, long-term care, centralized fulfillment or high-volume community pharmacy. Strong problem-solving skills and comfort managing teams of 10 to 15 or more are also needed.

  Pharmacy dispensing system, Claims adjudication systems

  5d

  Hybrid Disability Case Managers - Regina

  Regina, SK

  $70k–$75k/yrFull Time

  

  Randstad Canada

  2+ YOECandidates need at least 2 years of experience in disability claims, health, wellness, life/health insurance or injury claims. They must communicate well in English, work calmly in a fast, high-volume setting, and hold or obtain Reliability clearance.

  Case management, Crisis intervention, Clinical research, Customer service, Health and safety, Mentor individuals

• 2d

  Registered Pharmacy Technician - Express Scripts Canada

  Mississauga, ON

  Full Time

  

  The Cigna Group: The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community.

  Express Scripts Canada needs a Registered Pharmacy Technician licensed in Ontario, with strong customer service, Kroll experience, intermediate MS Office skills, and high attention to detail. An Enhanced Reliability Clearance from the Federal Government is a condition of employment.

  Kroll, MS Word, MS Excel, MS Outlook, Kirby supplies

  2d

  Production Pharmacy Assistant - Express Scripts Canada

  Mississauga, ON

  Full Time

  

  The Cigna Group: The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community.

  2+ YOECandidates need about two years of related experience, preferably in a pharmacy, plus Kroll software skills and intermediate Microsoft Office skills. Strong organization, attention to detail, customer service and the ability to lift 25 lbs are expected, and bilingual English and French is an asset.

  Kroll, warehouse equipment, CRM

  2d

  Pharmacy Assistant Specialty - Express Scripts Canada

  Mississauga, ON

  Full Time

  

  The Cigna Group: The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community.

  2+ YOEExpress Scripts Canada needs candidates with about two years of relevant experience, preferably in a pharmacy setting. Candidates need Kroll software skills, intermediate MS Office skills, strong customer service and written and verbal communication, and attention to detail. English and French bilingualism is an asset.

  Kroll, MS Word, MS Excel, MS Outlook, CRM

• 2d

  Production Pharmacy Assistant - Express Scripts Canada

  Mississauga, ON

  On-siteFull Time

  CE

  CA5 Express Scripts Pharmacy Ontario LTD

  2+ YOECandidates need about two years of related experience, preferably in a pharmacy. Proficiency in Kroll software, intermediate MS Office skills, strong customer service and attention to detail, and the ability to lift 25 lbs are needed.

  Kroll, MS Word, MS Excel, MS Outlook, CRM software, warehouse equipment

• 2d

  Special Authorization Analyst II – Clinical Drug Services

  Edmonton, AB

  Full Time

  AB

  ABC Benefits Corporation

  Candidates need clinical or pharmacy-related education or experience, knowledge of drug therapy and treatment guidelines, and strong analytical, written and verbal communication skills. Proficiency with Microsoft Office and a satisfactory criminal record check are also required.

  Microsoft Word, Microsoft Excel, Microsoft Access

  4d

  Dental Provider Relations Representative – Contact Centre

  Alberta

  Full Time

  AB

  ABC Benefits Corporation

  Candidates need computer proficiency in Microsoft Word and Excel and strong customer service skills, preferably with phone or in-person contact. A medical, dental or pharmacy background is an asset, and a commitment to a call centre career is essential.

  Microsoft Excel, Microsoft Word, Online adjudication systems

• 2d

  Group Benefits Adjudicator

  Kelowna, BC

  Full Time

  SB

  Simply Benefits

  3+ YOECandidates need at least 3 years in insurance claims adjudication, strong attention to detail and complex calculation skills, and comfort with MS Word, Excel and Outlook. Strong interpersonal and organizational skills and the ability to interpret claim guidelines are also required.

  MS Word, Excel, Outlook, Member portal

  2d

  Group Benefits Adjudicator

  Ayr, ON

  Full Time

  SB

  Simply Benefits

  3+ YOECandidates need at least three years in insurance claims adjudication, strong attention to detail, and comfort with complex calculations. Good computer skills in Word, Excel and Outlook, and the ability to explain plan designs and the member portal to clients, are also needed.

  Excel, Word, Outlook, member portal

• 2d

  Registered Pharmacy Technician - Express Scripts Canada

  Mississauga, ON

  On-siteFull Time

  ES

  Express Scripts Pharmacy Ontario LTD

  Candidates need an Ontario Registered Pharmacy Technician licence, strong written and verbal communication, and proficiency in Kroll and MS Office. Attention to detail, accurate data entry and customer service skills are essential, and French is an asset.

  Kroll, MS Office, Excel, Word, Outlook, Kirby

  2d

  Pharmacy Assistant Specialty - Express Scripts Canada

  Mississauga, ON

  On-siteFull Time

  ES

  Express Scripts Pharmacy Ontario LTD

  2+ YOEExpress Scripts needs candidates with about 2 years of relevant experience, preferably in a pharmacy, plus proficiency in Kroll software and intermediate MS Office skills. Strong written and oral communication, customer service, attention to detail and the ability to work independently are essential.

  Kroll, MS Office, Word, Excel, Outlook, CRM

• 3d

  Interim Manager of Program Operations

  Guelph, ON

  HybridFull Time, Temporary

  

  Ontario Soil and Crop Improvement Association

  2+ YOECandidates need a post-secondary degree in a related field such as agriculture, soil science, or natural resource management, plus 2 to 5 years of progressive program administration experience with leadership. Experience with cost-share or funding programs and government reporting is required.

  Microsoft Office, databases, program tracking systems, visualization platforms

• 3d

  Health & Safety Specialist

  Toronto, ON

  Full Time

  ML

  Maple Leaf Sports & Entertainment Partnership

  3+ YOECandidates need a college diploma or university degree in occupational health and safety or a related field, at least 3 years of health and safety experience, and strong WSIB claims management experience. They also need incident investigation and training experience in a multi-site, unionized setting, plus strong communication and influencing skills.

  Office 365, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, SharePoint

  3d

  Health & Safety Specialist

  Toronto, ON

  Full Time

  ML

  Maple Leaf Sports & Entertainment Partnership

  3+ YOECandidates need a college diploma or university degree in occupational health and safety or a related field, at least 3 years of health and safety experience, and strong WSIB claims management experience. They also need incident investigation and training experience in a multi-site, unionized setting, plus strong communication and influencing skills.

  Office 365, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, SharePoint

• 3d

  Ability Management and WSIB Assistant

  Whitby, ON

  Full Time

  

  Durham District School Board

  1+ YOEDurham District School Board needs a candidate with a college diploma in Business, Office Administration or Human Resources, or equivalent, and at least one year of office administration experience. WSIB working knowledge and long-term insurance administration are preferred, along with strong written and oral communication.

  personal computers, photocopiers, fax machines, shredders, scanners, word processing software

• 4d

  Senior Travel Claims Specialist

  Waterloo, ON

  Full Time

  C1

  Company 1 - The Manufacturers Life Insurance Company

  3+ YOECandidates need a university degree or equivalent work experience, 3 to 5 years of claims adjudication experience (life, health or travel preferred), and strong analytical, decision-making and customer service skills. Knowledge of medical terminology is an asset.

  workflow platform, case management system, AI-assisted document tools

• 4d

  Group, Claims Examiner II

  Edmonton, AB

  Full Time

  FC

  First Canadian Insurance Corporation

  3+ YOECandidates need 3-5 years of health and dental claims experience in Canadian group benefits, fluent English, and intermediate Microsoft Word and Excel skills. A degree, diploma or certificate is preferred, and the ability to handle multiple tasks against tight deadlines is required.

  Microsoft Word, Microsoft Excel

  4d

  Group, Claims Examiner III

  Edmonton, AB

  Full Time

  FC

  First Canadian Insurance Corporation

  3+ YOECandidates need 3-5 years of health and dental claims experience in Canadian group benefits. They need strong multitasking skills, intermediate Microsoft Word and Excel skills, and fluent English; French is an asset.

  Customer Relationship Management system, Microsoft Word, Microsoft Excel

• 4d

  Adjuster Level II, Accident Benefits Claims

  Kitchener, ON

  

  Heartland Mutual Insurance: In August 2021, Heartland Farm Mutual amalgamated with The Kings Mutual Insurance Company of Berwick, Nova Scotia.

  2+ YOECandidates need 2 to 4 years of Accident Benefits adjusting experience and post-secondary education in insurance, business or a related field. A working knowledge of SABS, specified benefits and claims systems is required, and a CIP designation in progress is preferred.

  Claims systems

  4d

  Adjuster Level II, Accident Benefits Claims

  Kitchener, ON

  

  Heartland Mutual Insurance: In August 2021, Heartland Farm Mutual amalgamated with The Kings Mutual Insurance Company of Berwick, Nova Scotia.

  2+ YOECandidates need 2 to 4 years of Accident Benefits adjusting experience and post-secondary education in insurance, business or a related field. A working knowledge of SABS, specified benefits and claims systems is required, and a CIP designation in progress is preferred.

  Claims systems

• 4d

  Manager, Operational Excellence & Strategic Projects

  Ontario +4

  RemoteFull Time

  

  Medavie Inc.

  Medavie Inc. needs a post-secondary graduate in business, health administration, project management or a related field, plus experience leading cross-functional projects, change management and process improvement. Candidates need disability or insurance knowledge (LTD, COD, MPB) and must be bilingual in French and English.

• 6d

  PHARMACY COORDINATOR - FULL TIME/PERMANENT

  Burnaby, BC

  

  Green Shield Canada

  Candidates need a high school diploma and strong communication skills, with a patient-first attitude and attention to detail. Pharmacy or healthcare experience is valued but not required, and English proficiency is mandatory.

  Kroll

• 6d

  Spécialiste du soutien aux patients /Patient Support Specialist

  Saint-Laurent, QC

  Full Time

  SD

  Shoppers Drug Mart

  5+ YOE5 à 7 ans d'expérience en programme de soutien aux patients, pharmacie spécialisée ou centre de contact en santé; Connaissance approfondie du paysage des payeurs canadiens; Bilinguisme français et anglais requis

  CRM, case management system, omnichannel contact centre platform, patient portal

15 companies