Find work in Canada.

325,265 jobs across our Canadian network. How we count

Jobs in Canada

25+ jobs

Email me new jobs Save this search

Added 2 mins ago
Sales Associate
EssilorLuxottica Group
Vancouver, BC
…technology and cutting-edge digital solutions. Join our global community of over 200,000 dedicated employees around the world in driving the transformation of the eyewear and eyecare…
Added 17 mins ago
Student Associate
University of Cincinnati
Clermont, QC
Part-time
UC is a mission-driven organization where we are committed to student success and positively transforming the community through scholarship and service. We thrive on innovation, making an…
Added 47 mins ago
Christmas Toyshop Associate - Temporary
The Salvation Army in Canada
Vancouver, BC
Full-time
Boundless Vancouver organizes The Christmas Toy Shop program for families and their children. The Christmas Toy Shop Associate works on our seasonal team to assist in set up and daily…
Added 47 mins ago
Store HR Manager *Aurora*
The Home Depot Canada
Aurora, ON
Full-time
Role model for living our values everyday and fostering a high level of associate engagement
Added 1 hour ago
Psychology Positions
Ottawa Catholic School Board
Ottawa, ON
Full-time
(Psychologist, Psychological Associate, Psycho-educational Consultant)
Added 1 hour ago
Retail Assistant Store Manager– Chinook Centre
YETI
Calgary, AB · CAN - Calgary Store
Up to $29.77 CAD / hour
Full-time
YETI stores act as a community hub for the outdoor enthusiast. A place where pursuit driven individuals can connect with the community, share their experiences and foster new relationships…
Added 1 hour ago
Reg Respiratory Therapist
BayCare Health System
St. Joseph's, NL · St Josephs, NL
Full-time
At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health…
Added 1 hour ago
Sr. Customer Success Manager
Assent
Toronto, ON · Ottawa, Ontario
$100,000 to $130,000 CAD / year
Full-time
Our commitment to People, Culture & Community (PCC) is rooted in building a diverse, inclusive, and high-performing team. We recruit and retain team members with a range of backgrounds,…
Added 1 hour ago
Sr. Customer Success Manager
Assent
Ottawa, ON
$100,000 to $130,000 CAD / year
Full-time
Our commitment to People, Culture & Community (PCC) is rooted in building a diverse, inclusive, and high-performing team. We recruit and retain team members with a range of backgrounds,…
Added 2 hours ago
Intermediate Building Envelope Specialist
Entuitive
Calgary, AB
$90,000 to $100,000 CAD / year
Full-time
Culture & community: Team-building activities, social events, and a supportive environment where we celebrate success together
Added 2 hours ago
Part-time Guest Experience Associate
Groupe Nordik
Whitby, ON
Part-time
Part-time Guest Experience Associate at Thermea Spa Village Whitby
Added 2 hours ago
Registered Veterinary Technologist, ER & ICU, Western Veterinary Specialist & Emergency Centre
VCA Animal Hospitals
Calgary, AB
Internship
…and service to our clients, referring veterinarians and our community. The hospital is well equipped with digital radiography, ultrasound, endoscopy, fluoroscopy, CT, linear accelerator,…
Added 2 hours ago
Sales Associate (Part-Time) - Diesel Yorkdale
CALZATURIFICIO STEPHEN S.R.L.
Toronto, ON
Part-time
In this Sales Associate role, reporting to the Store Manager, you will be responsible for growing our brand awareness, developing a strong business and leading a team of fashion…
Added 2 hours ago
Veterinary Technician, Lawrence Veterinary Clinic
VCA Animal Hospitals
Toronto, ON
Full-time
Our hospital: At Lawrence Veterinary Clinic in the community of North York, we empower our RVTs to utilize their full skills as the heartbeat of our medicine! Partnering closely with our…
Added 2 hours ago
Intermediate Building Envelope Specialist
Entuitive
Remote, Canada
Remote
Culture & community: Team-building activities, social events, and a supportive environment where we celebrate success together
Added 2 hours ago
Associate
Royal Bank of Canada
Vancouver, BC
Full-time
The RBC Dominion Securities branch located in Kerrisdale, Vancouver BC, is looking for an Associate to provide administrative support to a successful Advisory Team.
Added 2 hours ago
Support - Harpers Landing
The Landing Restaurant Group
Oakville, ON
Full-time
Harpers Landing is looking for a Support Associate to join our team!
Added 2 hours ago
Associate Veterinarian- West Hill Animal Clinic
VetStrategy / Daubigny
Toronto, ON · Scarborough, ON
West Hill Animal Clinic in Scarborough, ON is currently looking for an Associate DVM to join our team!
Added 3 hours ago
Battalion Chief of Logistics and Professional Standards
The Excelsior Fire District
Chief Mountain, AB
Full-time
Serves as the professional standards coordinator for the district, supporting CPSE/CFAI self-assessment, Community Risk Assessment, and the Standards of Cover.
Added 3 hours ago
Associate
RBC Dominion Securities
Vancouver, BC
Full-time
The RBC Dominion Securities branch located in Kerrisdale, Vancouver BC, is looking for an Associate to provide administrative support to a successful Advisory Team.
Added 3 hours ago
Health Claims Adjudicator
Co-operators
Regina, SK
Full-time
GBA(Group Benefits Associate) and or ALHC(Associate, Life and Health Claims) designation would be considered an asset.
Added 3 hours ago
DYNAMITE - Sales Associate PT - Champlain Place
Groupe Dynamite
Dieppe, NB
Full-time
…wardrobe. With stores across North America and an ever-growing community, we’re building a team that shows up boldly and makes an impact. If you're ready to bring an elevated presence and…
Added 3 hours ago
DYNAMITE - Seasonal Sales Associate - Champlain Place
Groupe Dynamite
Dieppe, NB
Temporary
…wardrobe. With stores across North America and an ever-growing community, we’re building a team that shows up boldly and makes an impact. If you're ready to bring an elevated presence and…
Added 3 hours ago
Health Claims Adjudicator
Co-operators
Mississauga, ON
Full-time
GBA(Group Benefits Associate) and or ALHC(Associate, Life and Health Claims) designation would be considered an asset.
Added 3 hours ago
Security Concierge
FirstService Residential Canada
Vaughan, ON
Full-time
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may…

Co-operators

Health Claims Adjudicator

Mississauga, ON, Canada

Pay: Expected salary range $43,550 - $72,583
Job type: Full-time
Apply by: Oct 30, 2026
Experience: You have 1 year of experience in group health and dental benefits field.
Posting language: English
Posted: Sep 30, 2026

Apply About employer

Applications open in a new tab.

Original job description

Company: CLIC

Department: Group Benefits

Employment Type: Regular Full-Time

Work Model: Hybrid (2 days in office)

Language: This role operates in English.

Additional Information: This/these role(s) is/are currently vacant

The Opportunity

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients and our communities.

Our Group Benefits team is a leader in our target markets through service excellence and innovative technology and products. Influenced by our co-operative values, our team of experts work collaboratively with clients to deliver solutions that meet their business needs.

The Health Claims Adjudicator reviews, adjudicates and processes group extended health and dental claims according to policy guidelines while also taking into consideration industry standards and applicable provincial legislation. Success is measured by accuracy of adjudication, clear and professional communication, meeting productivity targets, and recommending improvements to work processes.

How You Will Create Impact

Adjudicate health and dental claims in accordance with plan provisions, policies, and contractual requirements.
Review Cost Plus and Out‑of‑Country claims to make sure coverage rules and eligibility criteria are applied correctly.
Interpret plan provisions, policies, and contracts to support accurate benefit decisions and compliance with regulatory and organizational standards.
Coordinate tasks and effectively oversee designated workloads in multiple adjudication queues and shared email inboxes to facilitate prompt processing of claims.
Prioritize tasks effectively to meet established service level agreements, productivity targets, and quality expectations.
Communicate professionally and effectively with internal partners, providers, and members to clarify coverage, resolve issues, and explain adjudication outcomes.
Apply critical thinking and sound judgment to identify opportunities for process improvements and provide rationale for recommended enhancements.
Support departmental initiatives and projects that promote operational efficiencies and continuous improvement.

To Join Our Team

You have a degree in health science, insurance, business administration or related fields.
You have 1 year of experience in group health and dental benefits field.
GBA(Group Benefits Associate) and or ALHC(Associate, Life and Health Claims) designation would be considered an asset.
You are proficient in data entry with a demonstrated ability to maintain attention to detail and accuracy.
You have a strong written and verbal communication skills for professional interactions with clients and providers.
You possess critical thinking abilities and an inquisitive mindset to review and refine policy guidelines.

How You Will Succeed

You influence change and are committed to continuous improvement, in order to exceed client expectations.
You leverage critical thinking skills to identify problems and proactively propose solutions.
Your strong communication skills allow you to clearly convey messages.
You’re an effective team player who shares knowledge to support our peers.

What You Need To Know

You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.

What’s in it for you?

Training and development opportunities to grow your career.
Flexible work options and paid time off to support your personal and family needs.
A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
Paid volunteer days to give back to your community.
In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.

Expected salary range $43,550 - $72,583

The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.

Apply About employer

More about this job

Responsibilities

Adjudicate and process group health and dental claims, including Cost Plus and out-of-country claims, in accordance with plan provisions, contracts, policy guidelines, and applicable regulations. Manage adjudication queues and communications to meet service, productivity, and quality targets, while resolving coverage questions and recommending process improvements.

Requirements

A degree in health science, insurance, business administration, or a related field and one year of experience in group health and dental benefits are required. Strong data-entry accuracy, attention to detail, communication, and critical-thinking skills are expected; GBA and/or ALHC designations are considered an asset.

Skills

Health And Dental Claims Adjudication
Policy Interpretation
Contract Interpretation
Claims Processing
Data Entry
Attention To Detail
Accuracy
Critical Thinking
Sound Judgment
Written Communication
Verbal Communication
Workload Coordination
Task Prioritization
Process Improvement
Regulatory Compliance
Teamwork

Benefits

Training And Development Opportunities
Flexible Work Options
Paid Time Off
Physical And Mental Health Programs
Supportive Workplace Culture
Paid Volunteer Days
Pension
Health And Wellness Coverage
Dental Coverage
Disability Coverage
Life Coverage
Mental Health Support
Employee Assistance Program
Incentive Programs

Visa sponsorship

Not detected in the job text

Keywords

Group Benefits
Health Claims
Dental Claims
Claims Adjudication
Cost Plus Claims
Out-Of-Country Claims
Plan Provisions
Policy Guidelines
Contractual Requirements
Coverage Rules
Eligibility Criteria
Provincial Legislation
Regulatory Compliance
Service Level Agreements
Adjudication Queues
Shared Email Inboxes
Data Entry
Quality Expectations
Process Improvement
Continuous Improvement
GBA
Group Benefits Associate
ALHC
Associate, Life And Health Claims

Report this job