Claims Manager

Robert Half is working with a well established, Edmonton-based insurance company to help them find a dynamic leader to develop and manage their new Health & Dental claims group.Responsibilities : Establish, mentor and lead a new claims processing team by fostering a collaborative environment that prioritizes accuracy, efficiency and employee engagement.Design and implement health and dental claims processing workflows that ensure timely and compliant handling of claims.Create a client service culture and embed client engagement by inspiring and motivating the claims team to provide the best claims experience in Canada.Conduct regular health and dental claim file reviews and performance assessments, to identify and evaluate trends to optimize processes and provide recommendations for technology enhancements.Possess excellent communication strategies to handle disputes and escalations, working with claimants and Plan Sponsors to find fair resolutions.Assist in the evaluation for a new Health and Dental Claims Adjudication software partner.Qualifications : 3+ years experience of leading a Health & Dental claims adjudication team. 5+years experience in group benefits Health and Dental Claims adjudication.Bachelor’s degree in Human Resources, Business Administration or equivalent. An insurance designation is considered an asset (LOMA, CEBS (GBA), ICA, etc.).Required SkillsExcellent organizational, analytical and interpersonal skills with the ability to manage multiple priorities. Strong problem-solving and decision-making abilities.Excellent communication skills with the ability to convey complex information clearly to various stakeholders. Proficient in MS Office Suite (e.g. Word, Excel, Outlook, and PowerPoint). This is a unique opportunity for an experienced Claims Manager looking for a new challenge. In addition to a competitive salary, a comprehensive total rewards package is offered. Apply today!