Job Title

Permanent Full Time - We are looking for aClaims ReviewSpecialist Reporting to theSupervisor,Claims Review the Claims Review Specialist is a key member of the Auditand Claim Verification team responsible for completing claim audit processes for a key Canada Life client. The main function of a Claims Review Specialist is to conduct standard claims reviews of providers and members. The Claims Review Specialist will also handle escalations and non-responses from other units within Canada Life. What you will do Conduct claims reviews, including assessment of documentation for preselected claims Handlereferralsfrom other business units, to investigate concernsidentifiedand follow up on non-responses Prepare communications to be sent tomembers and providers seeking confirmation or clarification of claim information Receive, file and action claim review documentationfrom providers and members Identifyfraud risk factors of claims reviewed andescalate or referfor further investigation if appropriate What you will bring Bilingualism (fluent in French and English) required, as the position will regularly serve our clients with English and French-speaking need Post-secondary degree/diplomaor equivalent work experience Education or work experience in an audit/quality/frauddiscipline considered an asset Experience within a paramedical or other clinic setting considered an asset Excellent communication skills, both written and oral Ability to manage multiple demands with tight deadlines is necessary. Strong technical skillsincluding Outlook, Excel, Teams Ability to work independently and collaboratively at all levels Understanding ofHealthand/or DentalClaims processesand business knowledge would be an asset Reliability Status Security Clearance this can only be completed with candidates who receive an offer of employment. This is a personal security status that is required as a condition of employment before an employee can gain access to Protected B information, assets or work sites as outlined by the Government of Canada website. The cost of submitting these checks will be covered by Canada Life This position will be located in the Winnipeg head office. - The base salary for this position is between $43,400 - $58,600 annually. This represents base salary only and does not represent other variable compensation components of our total compensation ( i.e. annual bonus, commission etc). If you are selected to move forward in our recruitment process, your recruiter will be able to discuss additional details of our total rewards program with you. Career opportunities will be open a minimum of 5 business days from the date of posting, closing dates will vary depending on the search activity. All applications received will be reviewed on a rolling basis. Be your best at Canada Life- Apply today Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success. You can be your best here. You''re part of a diverse and inclusive workplace where your career and well-being are championed. You''ll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences. Together, as part of a great team, you''ll deliver on our shared purpose to improve the well-being of Canadians. It''s our driving force. Become part of a strong and successful company that''s trusted by millions of Canadians to do the right thing. Canada Life servesthe financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we''re one of Canada''s leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations. We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employeehas the opportunity toreach their potential. It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Canada Life policies. To request a reasonable accommodation in the application process, contact Canada Lifewould like to thank all applicants, however only those who qualify for an interview will be contacted. #LI-Hybrid