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.

As a Claims Analyst working with the Nova Scotia Provincial Programs, you will be responsible for managing a diverse range of complex medical claims from multiple programs, each with unique eligibility and policy requirements. Utilizing an online system, you will assess, analyze, investigate, and process claims. Staying current with policy and procedure changes is essential. You will work closely with the Medical Consultant, fellow staff members, your Team Leader, and the Manager on claims related to insured medical services to ensure they are handled efficiently and accurately.

Key Responsibilities

• Review, analyze, and assess complex claims, including medical, optometry, out-of-province, out-of-country, special consideration, and exceptional circumstances, ensuring accurate and efficient payment with high attention to detail on a daily basis.
• Decipher detailed operative reports, record of operation and record of anesthesia, in order to provide appropriate payments of service.

• Liaise with service providers, their staff and vendors in a professional manner with respect to system use, claims submissions, and payment reconciliations.

• Provide excellent customer service when answering incoming phone calls and email inquiries.

Qualifications

• Education: Post secondary education in a health-related field with Medical Terminology.
• Work Experience: A minimum of 2 -3 years of related work experience.
• Language: Bilingualism would be considered an asset.
• Strong analytical and problem-solving skills
• Excellent communication abilities with a customer-focused mindset
• Proactive, self-motivated, and detail-oriented with efficient organizational skills
• Collaborative team player who is adaptable and flexible
• Experience in Microsoft Office Suite programs , especially Excel, with strong computer and keyboarding skills. Comfortable with business IT systems.

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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] .