CLAIMS ADJUDIDCATION OFFICER
OPEN COMPETITION
DEPARTMENT OF HEALTH
FREDERICTON

The Department of Health is seeking an individual to join the Medicare & Physician Services Branch as a Claims Adjudication Officer on-site in their downtown Fredericton office.

As the Claims Adjudication Officer, you will:

• Review claims and analyze information to apply assessment rules for claim payments;
• Facilitate accounting functions related to submissions and reconciliations for payments;
• Liaise with the public and the physician community;
• Interpret acts, regulations and policies;
• Process an extensive volume of data entry;
• Prepare correspondence, and
• Collaborate with other team members on claims.

All tasks must be performed with a high degree of accuracy. This work requires a high level of discretion in dealing with confidential information, knowledge of privacy legislation, knowledge of team dynamics, and good communication and interpersonal skills.

Who you are:

• You are effective in working collaboratively with colleagues and clients.
• You are adept at critical analysis and recognized for your sound judgement.
• You are recognized for your ability to work autonomously and achieve results with minimal supervision.

Essential Qualifications:

• High school diploma supplemented by successful completion of a one (1) year post-secondary program diploma in business administration, office administration or a related field.
• Coursework in Medical Terminology.
• Five (5) years of related experience, to include experience in Microsoft Office.
• OR a high school diploma, supplemented by coursework in Medical Terminology.
• Six (6) years of related experience, to include experience in Microsoft Office.
• An equivalent combination of education, training and experience may be considered.
• Written and spoken competence in English and French is required, please state your language capability on your application.

Applicants must clearly demonstrate the essential qualifications to be given further consideration. Please ensue that preferred language for assessment is identified on your resume.

A candidate who meets the essential qualifications, except for coursework in Medical Terminology, may be considered if they demonstrate on their application that they are enrolled in or are willing to enroll in an online Medical Terminology Certificate. Successful completion must be achieved.

Behavioural Competencies: The successful candidate will possess the following behavioural competencies:

• Teamwork and Cooperation
• Client Service Orientation
• Analytical Thinking/Judgement
• Concern for Order
• Information Seeking

Technical Competencies: The successful candidate will possess the following technical competency:

• Ability to use office technology, software and applications

Résumés should be in chronological order specifying education and employment in months and years including part-time and full-time employment.

Salary: $1,816 to $2,205 bi-weekly (ASL 4)

What can GNB offer you:

• Comprehensive benefits package which includes paid vacation, Health and Dental Plan, Life Insurance, Long-Term Disability and the New Brunswick Public Service Pension Plan.
• Free access to Employee and Family Assistance Program (EFAP) and services.
• Career growth, development and continuous learning opportunities.

How to apply:

We encourage applicants to apply on-line at https://www.ere.gnb.ca/competition.aspx?lang=E&t=Y or by mail at the following address by February 3, 2025, indicating competition number 35-24-0030. This competition may be used to fill future vacancies at the same level.

Department of Health
Human Resources
4th floor, 520 King Street
Fredericton, NB E3B 5G8
Telephone: (506) 453-4331
E-Mail: [email protected]

We thank all those who apply however only those selected for further consideration will be contacted.

Candidates registered with the Equal Employment Opportunity Program and veterans, who demonstrate they are among the most qualified, shall be given preference at the time of appointment.

We promote a scent-reduced environment.
We are an Equal Opportunity Employer.

The New Brunswick Public Service: Improving the lives of New Brunswickers every day!