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First Canadian Financial Group

Group, Claims Examiner III

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

You've built your expertise. Put it to work.

We're looking for more than someone who knows how to perform the role. We want someone who understands the business well enough to help us improve it.

Bring the knowledge you've developed throughout your career - the practices that work, the processes that don't and the ideas you've wanted to implement - and help us build an even stronger experience for our clients.

What You’ll Influence

Claims adjudication practices, procedures and service standards.
Process improvements that support quality, efficiency and member experience.
Enhancements to claims workflows and technology based on frontline experience.
Training, knowledge sharing and development of less-experienced team members.
Emerging issues, trends and opportunities that should be considered as our Claims function evolves.

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 highdegree of accuracy.
Effectively uses a Customer Relationship Management system to track and respond to written and telephone inquiries from planmembers 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 checksbefore 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

Adjudicate health and dental claims accurately according to policy terms, and use the CRM system to track and respond to member and client inquiries within service standards. Meet claims production and quality targets while contributing expertise to process improvements, workflow enhancements, and the development of less-experienced team members.

Requirements

Candidates should have 3–5 years of health and dental claims experience in the Canadian Group Benefits industry, along with the ability to multitask, meet tight deadlines, and use Microsoft Word and Excel at an intermediate level. A university, diploma, or certificate is preferred, and fluent English communication is required; French is an asset.

Skills

Health and Dental Claims Adjudication
Group Benefits
Claims Processing
Customer Service
Written Communication
Verbal Communication
Multitasking
Deadline Management
Microsoft Word
Microsoft Excel
Accuracy
Process Improvement
Training and Knowledge Sharing
Quality Standards

Benefits

Vacation
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
Policy Coverage
Claims Processing
Member Inquiries
Client Inquiries
Service Standards
Production Standards
Quality Standards
Process Improvement
Claims Workflows
Microsoft Office
Microsoft Word
Microsoft Excel
Written Communication
Verbal Communication
Multitasking
Deadline Management
Training
Knowledge Sharing
French
English
Canadian Group Benefits

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