Position Type:
Permanent

If you're looking for a fulfilling career that can make a real difference in your life, and the lives of others, you've come to the right place.

As a national health solutions partner, we put people first in everything we do - and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.

Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest - and it's reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.

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

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.

If you experience any technical issues throughout the application process, please email: [email protected] .