Careers

Job Summary

Our Claims Services team is seeking a Claims Adjudicator to provide collaborative support to beneficiaries on their path to health using an active case management approach. 

The Claims Adjudicator is responsible for assessing and managing short and long-term disability claims to resolution. This includes determining if the plan member is eligible to receive benefit payments, developing a case management plan for each claim, and working with the plan member through a successful return to work. The Claims Adjudicators work in partnership with claimants, member organizations, unions, physicians, and rehabilitation consultants, and they make timely decisions based on medical information, vocational components, and plan policies while effectively and proactively managing a caseload of ongoing claims.

The philosophy of our Employee Benefits department is “We Take Care of the Caregivers.” Our Claims Adjudicators work in partnership with a team of professionals to care for the caregivers in our province. This could be the career for you if you have a positive attitude, a commitment to quality service, and thrive in a fast-paced work environment.

Required Qualifications

• Degree/Certification in Human Resources, Disability Management, or Occupational Health and Safety is preferred

Knowledge, Skills and Abilities

• Ability to establish and maintain effective interpersonal/consultative relationships, including conflict resolution
• Ability to handle calls of a sensitive or emotionally charged nature
• Ability to identify root causes of issues and develop/recommend solutions
• Ability to manage time and set personal goals and priorities to achieve department results
• Ability to understand customer needs and identify improvement opportunities
• Ability to work independently and as a member of a multi-disciplinary team
• Demonstrated ability to establish and maintain effective working relationships with both internal and external customers
• Excellent written and verbal communication skills and high attention to detail
• Knowledge of group insurance principles and practices, industry standards, legal and contractual obligations, and claims investigation and assessment procedures an asset
• Medical knowledge, as well as demonstrated knowledge in aspects of human behaviour, counseling, interviewing, referral procedures, and community resources
• Must have a positive attitude, a commitment to quality service, and the ability to cope with the stress inherent in the nature of disability claims adjudication, including high work volumes
• Knowledge of lean processes would be considered an asset

Experience

• A minimum of five years' experience in insurance and/or disability claims adjudication, or an equivalent combination of education and experience
• Medical experience obtained through claims assessing, underwriting, nursing, or a health profession is an asset
• Experience in vocational rehabilitation, disability management, or attendance support would be an asset

How to Apply

This is a permanent, full-time position located in Regina, Saskatchewan.  

We thank all interested candidates; however, only those chosen for an interview will be contacted.

Prior to commencing employment with 3sHealth, the selected candidate will be required to complete a criminal record check.