Skip to Main Content

Job Title


Claims Administrator (Term)


Company : People Corporation


Location : Markham, York Region


Created : 2025-10-17


Job Type : Full Time


Job Description

Join to apply for the Claims Administrator (Term) role at People Corporation . The Claims Administrator (Term) organizes and prepares claims for submission to the designated adjudication provider, ensuring timely and accurate processing. They also serve as the first point of contact for member inquiries, offering clear and helpful information regarding claim status and benefit coverage. This is a fixed-term position through the end of September 2025. Responsibilities Reports to Benefits Administration Manager and receives work direction from them. Reviews, examines and directs the processing of unusual or complex claim cases or claims to service provider. Investigates any issues with claims adjudication and reports the complete findings to the manager. Regularly reviews and updates the Claims manual. Corresponds and communicates via telephone, written correspondence, or in person with members, providers, consultants, or other internal or external customers. Apply guidelines, determine coverage, complete eligibility verification, and identify discrepancies. Other duties delegated by the Benefits Administration Manager. Key Contacts / Relationships (Internal and External) Communicates with other departments and managers/supervisors. Deals directly with Plan participants/members and their dependents and beneficiaries by phone, fax, email, mail, or in person. Corresponds with insurance providers, consultants, and union representatives regarding specific claims submitted. Qualifications Minimum 3-5 years of work experience in an office environment. Strong verbal and written communication skills. Ability or past knowledge of interpreting Benefit Plans and applying all guidelines in day-to-day workflow. Familiarity with contract wording, policy provisions, and the Insurance Act. Analytical skills to research, review and assess claims. Excellent organizational skills and attention to detail. Strong work ethic, accountability, and ability to manage priorities and reporting timelines. Strong verbal and written communication skills; ability to manage multiple cases simultaneously. Excellent computer skills, including MS Office applications with strong MS Excel skills. Co-operative team player with strong math and analytical skills; skilled in detailed numerical computations. Ability to closely analyze and focus on detailed reporting and investigate discrepancies. Whats In It For You Learn by working alongside our experts. Assistance for the completion of industry designations. Competitive compensation. We are an inclusive, accessible environment committed to building a diverse workforce and respectful of all individuals. If you require an accommodation or an alternative format of any posting, please reach out to . #J-18808-Ljbffr