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Added 3 mins ago
QW
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Senior Financial Specialist
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Kamloops, BC · Vancouver, BC
- Full-time

First Canadian Financial Group

Group, Claims Examiner II

Edmonton, AB, T5K 0J8, Canada

Full-time

Apply About employer

Applications open in a new tab.

Job details

Job type: Full-time
Experience: A minimum of 3-5 years health and dental claims experience within the Canadian Group Benefits industry.
Posting language: English
Posted: Nov 4, 2026

Original job description

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.

Apply About employer

More about this job

Responsibilities

Accurately enter and adjudicate health and dental claims according to policy terms and conditions, while meeting established production and quality standards. Use the CRM system to track and respond to written and telephone inquiries from plan members and clients within service standards.

Requirements

Candidates should have 3–5 years of health and dental claims experience in the Canadian Group Benefits industry, along with strong communication, multitasking, and deadline-management abilities. A university degree, diploma, or certificate is preferred, as are intermediate Microsoft Word and Excel skills; French is an asset, and pre-employment background and verification checks are required.

Skills

Health and Dental Claims Adjudication
Claims Data Entry
Policy Coverage Interpretation
Member and Client Service
Written Communication
Verbal Communication
Multitasking
Deadline Management
Microsoft Word
Microsoft Excel
Claims Quality Assurance
Claims Production Management
Process Improvement
Attention to Detail

Benefits

Vacation and Earned Time Off
Group Retirement Savings Plan with Employer Match
Employee Benefits
Health and Wellness Spending Account
Educational Assistance
Career Development
Early Finish on Fridays
Employee Assistance Program
Employee Discount Programs
On-Site Gym
Bilingualism Premium

Visa sponsorship

Not detected in the job text

Keywords

Group Benefits
Health Claims
Dental Claims
Claims Adjudication
Canadian Group Benefits Industry
Policy Coverage
Claims Data Entry
CRM
Plan Members
Client Inquiries
Claims Production Standards
Claims Quality Standards
Microsoft Office
Microsoft Word
Microsoft Excel
Written Communication
Verbal Communication
French
Process Improvement
Claims Workflows
Service Standards
Credit Check
Criminal Check
Education Verification
Employer Reference Check

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