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Added 2 mins ago
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Sales Representative Farm Animal - Alberta and British Columbia
Elanco
Mississauga, ON · CA - Mississauga
- Full-time
…the driving force behind innovation, creativity, and overall business success. Here, you’ll be part of a company that values and champions new ways of thinking, work with dynamic…
Added 2 mins ago
Network & Systems Support Specialist Trainee CANADA
CLAAS
Regina, SK
Supports Information Technology needs across the North America business entities, including deployment of new sites/locations, computers, mobile devices, and training.
Added 2 mins ago
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District Sales Manager
Sysco
Toronto, ON · Sysco Toronto
- Full-time
Lead a cross functional sales teams of Marketing Associates, Business Development Managers, Inside Marketing Associates, and Category Growth Specialists
Added 2 mins ago
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Store Manager
JYSK Canada
Wetaskiwin, AB
- Full-time
Ability to make complex decisions with integrity that supports company guidelines and makes good business sense
Added 2 mins ago
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Full Stack Engineer I
Paymentus Group Inc
Richmond Hill, ON
- Full-time
…payment solutions, and is looking for an experienced full-stack developer to join our cross-functional team building a FinTech solution tailored for the SMB market. You will contribute to…
Added 2 mins ago
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Project Manager: Environmental Contracting
Kinetic Environmental
AB · Calgary, AB
- Full-time
Our core values are a desire to build enduring Relationships, a Passion for our business, and an endeavor for Continuous Improvement in all we do. We focus on teamwork, trust and, most…
Added 2 mins ago
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Lead System Administrator
Royal Bank of Canada
Toronto, ON
- Full-time
Reporting to the Senior Manager, this role is responsible for assessing, researching, and analyzing business and technical application requirements to support and resolve systems issues…
Added 2 mins ago
BC
BCG Platinion | Senior AI Tech Consultant, Enterprise Solutions
Boston Consulting Group
Toronto, ON
- $160,000 CAD / year
- Full-time
Boston Consulting Group (BCG) is a global consulting firm that partners with leaders in business and society to tackle their most important challenges and capture their greatest…
Added 2 mins ago
EI
Financial Systems Analyst
Ecolab Inc.
Calgary, AB
- Full-time
…optimizing, and enhancing financial systems, reporting tools, and business processes. Reporting to the FP&A Manager, this role serves as the primary point of contact between Finance, IT,…
Added 15 mins ago
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Client success manager
PrimaryUI
NB · Chiasson Office, NB
- Full-time
Bachelor’s degree in Business, Communications, or related field
Added 15 mins ago
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ABR - Alcohol Sampling Brand Ambassador - Sherwood Park
Mosaic North America
Sherwood Park, AB
- Internship
\Working with ongoing business (will have casual shifts through the year, schedule provided in advance)\
Added 15 mins ago
MN
ABR - Alcohol Sampling Brand Ambassador - Edmonton
Mosaic North America
AB · Edmonton, AB
- Internship
\Working with ongoing business (will have casual shifts through the year, schedule provided in advance)\
Added 16 mins ago
Front End - Clerk Sales/Service - Tier II SW
Sobeys Capital Incorporated or a Franchise/Affiliate / ou une franchise/société affiliée
Winnipeg, MB
What began as a meat delivery business in Stellarton, Nova Scotia has grown to over 128,000 teammates at corporate-owned and franchised store locations. Sobeys Capital Incorporated and its…
Added 16 mins ago
Deli - Clerk MDS Production (Grid B) - Safeway Caulfield Village, West Vancouver BC
Sobeys Capital Incorporated or a Franchise/Affiliate / ou une franchise/société affiliée
BC · West Vancouver, BC
What began as a meat delivery business in Stellarton, Nova Scotia has grown to over 128,000 teammates at corporate-owned and franchised store locations. Sobeys Capital Incorporated and its…
Added 16 mins ago
Senior Benefits Consultant - Westland Benefits
Talent Acquisition Team at Westland Insurance. Text reply only.
Richmond, BC · Surrey, BC
…our team. Every day, Westland proves that building a great business means taking care of communities, clients, and each other with equal commitment. As we continue to open new doors, we're…
Added 16 mins ago
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Human Resources Business Partner (4-Month Contract)
Acosta
Mississauga, ON
- Full-time
The HRBP functions in a strategic business partner role to provide and facilitate HR strategies and services. In this role you will serve as the primary HR contact to Department Head (s)…
Added 16 mins ago
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Event Producer, B2B
Acosta
Toronto, ON
- Full-time
…small, including; strategic corporate events, conferences, business meetings, and more. You will also play a role in managing and coaching a team of Event Managers and Event Coordinators,…
Added 16 mins ago
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Product Specialist, evertz.io
Evertz Microsystems Limited
Burlington, ON
- Full-time
…someone who likes working directly with customers and solving the business and technical challenges that come with…
Added 31 mins ago
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Ticketing Services & Entertainment Coordinator
Westerner Park
Red Deer, AB
- Full-time
Post-secondary education in Business Administration, Event Management, Hospitality, or a related field is preferred.
Added 31 mins ago
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Mechanical Assembler - Day Shift
Powell
Acheson, AB
- Full-time
…typically available and will be considered only where supported by business needs and applicable legal…
Added 31 mins ago
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Interim Lead
sephora.com
Edmonton, AB
- $20 to $23.55 CAD / hour
- Full-time
…individual, and any additional non-discriminatory, legitimate business factors relevant to the position and/or…
Added 31 mins ago
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Gestionnaire de territoire bilingue - Intervention Périphériqu (contract 12 mois)
BD
Montreal, QC · Quebec, QC · CAN Quebec - Galilee
- Full-time
Added 31 mins ago
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Sales Technology Excellence and Enablement Specialist
BD
Mississauga, ON · CAN Mississauga - Derry Road West
- Full-time
…associates and leaders to understand their commercial processes and business requirements for CRM, CPQ, CLM and other commercial technologies. Responsibilities include Salesforce delegated…
Added 31 mins ago
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Jr. Product Engineer
Semtech
Burlington, ON · CAN - Burlington, ON
- Full-time
…high-quality products that exceed customer expectations and drive business success - and our versatile, results-driven team makes it…
Added 31 mins ago
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Full-Time Liquor Clerk II
Co-op
North Battleford, SK
- Full-time
Co-op is a different kind of business; being member-owned means that any profits are returned to our members and stay in the local economy. If you are a member, then you’re an owner.

Co-operators

Health Claims Adjudicator

Regina, SK, Canada

Expected salary range $43,550 - $72,583 · Full-time

Apply About employer

Applications open in a new tab.

Job details

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

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, policies, and applicable regulations. Manage adjudication queues and communications to meet service and quality targets, explain decisions to stakeholders, and contribute to process improvements and departmental initiatives.

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 requested. Candidates should demonstrate accurate data entry, strong written and verbal communication, critical thinking, and an inquisitive approach; GBA and/or ALHC designations are assets.

Skills

Health And Dental Claims Adjudication
Policy Interpretation
Benefits Eligibility Assessment
Cost Plus Claims Review
Out-Of-Country Claims Review
Data Entry
Attention To Detail
Accuracy
Critical Thinking
Sound Judgment
Written Communication
Verbal Communication
Workload Prioritization
Time Management
Process Improvement
Teamwork

Benefits

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

Visa sponsorship

Not detected in the job text

Keywords

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

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