Claims Analyst

Analyst

Join Medavie and help deliver quality service to our members by supporting the processing of health and dental insurance claims.

Your Responsibilities

• Analyze health and dental insurance claims to determine the eligibility of submitted expenses.
• Apply established coverage provisions, policies, and procedures to approve or deny claims.
• Obtain the information required to process claims by communicating with members by phone or in writing.
• Enter, update, and validate data within the claims processing system.
• Interact with various computer systems to assess member eligibility and coverage details.
• Conduct the necessary research and verification activities to support claim assessment.
• Create and maintain records for self-billed members.
• Perform manual calculations when claims cannot be processed automatically by the system.
• Provide professional, courteous, and efficient customer service.
• Perform other related duties as assigned by the immediate supervisor.

Required Qualifications

• College diploma (DEC) or equivalent combination of education and experience.
• Excellent written and spoken French.
• Good written English skills.
• Knowledge of health and dental insurance is considered an asset.
• LOMA 1 and 2 courses completed in accordance with company policy are considered an asset.

Desired Skills

• Strong analytical and decision-making skills.
• Initiative and ability to work independently.
• High level of accuracy and attention to detail.
• Excellent organizational and prioritization skills.
• Customer-focused with a commitment to delivering exceptional service.
• Ability to quickly learn and work with multiple computer systems.

What We Offer

• Comprehensive group benefits plan including health, dental, travel, life insurance, and long-term disability coverage.
• Comprehensive training and onboarding support.
• Professional development and career growth opportunities.
• A flexible, collaborative, and wellness-focused work environment.
• A culture built on respect, inclusion, and teamwork.

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs. We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.

While Medavie may use automated tools, including AI, to support application screening, candidates are expected to complete all recruitment interactions independently—without AI assistance—to ensure a fair and equitable process.

If you experience any technical issues throughout the application process, please email: View email address on click.appcast.io.