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Added 7 mins ago
PL
Lifestyle and Programming Manager
Prima Living
Aurora, ON
- Full-time
Strong computer skills with proficiency in Microsoft Office and related applications.
Added 7 mins ago
BC
Communication Assistant
Brant Community Healthcare System
Brantford, ON
- Full-time
Added 7 mins ago
SC
Recreation Attendant
Shepherd's Care Foundation
Vanguard, SK
- Full-time
…required. Preferred candidates will have knowledge of computer applications, excellent organizational skills, and the ability to motivate and engage residents. Strong interpersonal skills…
Added 7 mins ago
J
Manager, Talent Acquisition
Jobgether
Canada
- $150,000 CAD / year
- Full-time
This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Manager, Talent Acquisition based in Canada.
Added 7 mins ago
H
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Senior QA and Automation Developer
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Added 52 mins ago
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Vice President of Engineering
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- $200,000 CAD / year
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Added 52 mins ago
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Senior Strategic Sales Manager (m/f/d)
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Added 1 hour ago
MC
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Added 1 hour ago
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Added 1 hour ago
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Director, Product Engineering
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…role reports to the President & CEO and works closely with the senior leadership…
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CS
Management Consultant - Analyst, Associate, Senior Associate
Cascadia Strategy Consulting Partners
Vancouver, BC
- $68,000 to $135,000 CAD / year
- Full-time
…degree with limited to no experience) to over $135,000 for Senior Associate 3. All positions are eligible for performance pay (0% - 40% of base salary) and are included in our benefits…
Added 1 hour ago
D
Senior Product Manager, Echo MS
Danaher
Concord, ON
- $130,000 to $150,000 CAD / year
- Full-time
The Senior Product Manager, Echo MS is responsible for owning the product strategy, roadmap, and lifecycle of the Echo MS+ platform (including configurations with ZenoTOF 7600, ZenoTOF…

First Canadian Financial Group

Group, Claims Examiner III

Edmonton, AB, Canada

Full-time

Apply About employer

Applications open in a new tab.

Job details

Job type: Full-time
Apply by: Dec 4, 2026
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

Accurately enter and adjudicate health and dental claims according to policy terms, while meeting claims production and quality standards. Track and respond to plan member and client inquiries through the CRM system, and contribute to improved claims processes and team knowledge sharing.

Requirements

Candidates should have 3–5 years of health and dental claims experience in the Canadian Group Benefits industry, strong communication skills, the ability to multitask and meet deadlines, and intermediate Microsoft Office skills. A university, diploma, or certificate is preferred, and French fluency is an asset; successful completion of pre-employment background and verification checks is required.

Skills

Health and Dental Claims Adjudication
Claims Data Entry
Policy Coverage Interpretation
Written and Telephone Customer Service
Claims Quality and Production Standards
Multitasking
Deadline Management
Microsoft Word
Microsoft Excel
Verbal Communication
Written Communication
Process Improvement
Training and Knowledge Sharing

Benefits

Vacation and Earned Time Off
Group Retirement Savings Plan With Employer Match
Employee Benefits
Health and Wellness Spending Account
Educational Assistance and 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
Insurance
Health Claims
Dental Claims
Claims Adjudication
Policy Coverage
Claims Procedures
Service Standards
Claims Workflows
Process Improvement
Plan Members
Client Inquiries
Claims Quality
Production Standards
Microsoft Office
Microsoft Word
Microsoft Excel
Training
Knowledge Sharing
French
English
Credit Check
Criminal Check
Education Verification
Employment Reference Check

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