Job Description

Type de poste:
Permanent
A la recherche d'une carriere epanouissante qui changera reellement votre vie et celle des autres? Vous etes au bon endroit.
A titre de partenaire national en solutions de sante, nous placons les gens au coeur de tout ce que nous faisons - en commencant par notre equipe de plus de 8 000 employes et employees qui mettent a profit leurs experiences personnelles et professionnelles diversifiees dans le cadre de leur travail a Medavie. Par l'entremise de la collaboration et de l'innovation, notre equipe cree des solutions d'assurance, de soins primaires et de services medicaux d'urgence a l'avant-garde de l'industrie qui viennent en aide a des millions de Canadiens et Canadiennes chaque annee.
Notre mission est d'ameliorer le bien-etre de la population canadienne afin que chaque personne puisse profiter pleinement de la vie, et cela se reflete dans notre culture d'entreprise primee. Nous celebrons l'individualite des membres de notre personnel et accordons de la valeur a la diversite de leurs points de vue et de leurs competences. C'est pourquoi en plus de vous offrir une remuneration concurrentielle et une gamme complete d'avantages sociaux, nous vous donnons acces a des possibilites de croissance professionnelle et personnelle, a des modalites de travail flexibles, a des experiences enrichissantes, ainsi qu'a un leadership bienveillant. A Medavie, chaque personne peut donner le meilleur d'elle-meme, se sentir a sa place et atteindre son plein potentiel. Joignez-vous a nous en postulant un poste des aujourd'hui.
The FAP (Federal Administered Programs) Unit, specializes in the payment of Federal benefits related to health and dental needs including pharmaceutical products . As a member of the Federal Claims team the incumbent will adjudicate claims received from Providers and clients and, if necessary, will communicate with the providers to clarify information.

Work Arrangement: This is a 37.5 hours/week, the hours are daytime, Monday to Friday. We also offer flexibility in work location and offer remote work across Canada). We also have office locations in Moncton, Charlottetown, Dartmouth, St. John's, and Etobicoke if you would like to work in office, or a hybrid of both.

We also offer:Monday to Friday daytime, no weekends We offer an extensive virtual paid training program, ensuring you are prepared for your new career We will provide the necessary equipment you will need to get started! A diverse team of colleagues with multiple fields of expertise




Key Responsibilities:Reviews, analyzes, investigates and authorizes payment of health and dental claims within set guidelines; Corresponds with claimants or agents; Providers and/or customers when required Handles and processes claims transactions accurately and efficiently (speed and accuracy); Uses business knowledge and experience to solve routine problems, with the support of senior staff; Produces clear and effective written materials.




Qualifications:Education: Post-secondary education in a related field is an asset (Health Information Technology, Medical Billing and Coding, Medical Office or Business Administration). Work Experience: Minimum 6 months work experience in an office environment. Other Qualifications: Knowledge of claims processing, eligibility and claims systems, as well as medical terminology is considered an asset. Computer Skills: Experience working with the Microsoft Office Suite Language Skills: Are proficient in English, being bilingual is a strong asset.




Security Clearance: In conjunction with our contract with the Federal Government, you will be required to have Reliability Status Clearance (Enhanced Level B) through the Public Works and Government Services Canada Department prior to your first day. This includes; Fingerprinting, Criminal Record Check and Credit Check.



Working Conditions and Work from Home requirements:Based on the types of data Federal Claims Analyst's have access to, there are physical security requirements for home office setup including: Private working area that has a locked door, secure locked perimeter doors (patio doors require a locking bar or pin), an approved locking file cabinet and a locked office space in a controllable environment. Connection to reliable high-speed internet and an approved home network (we would either provide or specify the acceptable routers/connectivity equipment). Your work area must be private and free of household noise and it must mitigate any risk to privacy (IE: information on your monitor can only be viewed by you) If your home is shared with other's you'll need to use a privacy screen on your monitor. Your work space must always be secured before walking away. You'll need to use a headset when taking calls and not use a speaker phone to ensure other's cannot hear the details of your call. You may be subject to internal physical site inspections

Nous croyons que les membres de notre personnel doivent representer les collectivites que nous servons et nous encourageons les personnes de tous les horizons a poser leur candidature. Pour vous offrir la meilleure experience qui soit, nous vous proposons des mesures d'adaptation pour chacune des etapes du processus de recrutement. Il vous suffit d'en faire la demande a l'equipe de recrutement. Nous nous engageons a veiller a ce que le recrutement, la fidelisation et le perfectionnement des employes et employees, de meme que leur remuneration, demeurent equitables, tiennent compte des besoins en matiere d'accessibilite et respectent l'ensemble des droits de la personne et des lois sur la protection de la vie privee qui s'appliquent. Nous remercions toutes les personnes qui ont manifeste de l'interet pour ce poste. Veuillez noter que nous communiquerons seulement avec les personnes retenues pour une entrevue.
Si vous rencontrez des problemes techniques au cours de votre procedure d'application, veuillez envoyer un courriel a : Medavie.Recruitment@medavie.ca.