Claims Clerical Support Clerk

Our partner and client, Express Scripts Canada, administers on behalf of Health Canada Claims Adjudication. This role entails the completion of tasks to support adjudicating Non-Insured Health Benefit Claims for Indigenous Peoples in Canada.

The role of a Clerical Support Clerk is to perform all administrative tasks required to ensure that the claims processing operation runs smoothly on a daily basis. Clerical Support Clerks are responsible for receiving and sorting of all paper claims that Express Scripts Canada receives through multiple channels such as mail, fax and web as well as managing the storage of all physical claims.

This role contributes to Express-Scripts Canada by meeting our Claims Processing Service Levels which contributes to customer satisfaction and minimizes risk of financial penalties. This job directly contributes to building a higher performance culture and living the values of First Canadian Health and our partner, Express Scripts Canada.

Key Responsibilities:

• Receive and log all incoming claims from all channels on a daily basis
• Count and track all claims received on a daily basis and report this to management
• Sort claim types in batches ensuring the accuracy of receive date
• Manage the filing and storage of all paper claims in a filing room and arranging for storage offsite to be sent or retrieved
• Be responsible in pulling any filed claims upon request from internal and external clients
• Administrative duties to ensure the office is stocked with supplies

Qualifications: 

• Basic computer skills with experience with data entry
• Experience working in an operational setting an asset
• Ability to work effectively in a fast paced, rapidly changing environment
• Ability to work within a team 
• Working knowledge of Microsoft Office Suite of Tools (Word, Excel, Outlook)
• Ability to work or interpret data independently

Physical Demands/Working Conditions:

• Office and Call Center environment
• No heavy lifting
• Intermittent walking within the Claims Department for Team support
• Comfortable workstations

Benefits of Working with FCH:

• Inclusive work environment
• Generous Group Benefits with Pension
• Generous PTO
• Team Culture

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

At First Canadian Health, we embrace our diversity. We strive to attract, develop, and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request 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 First Canadian Health policies.

For more information about First Canadian Health, and our parent company, Tribal Councils Investment Group, please visit:

https://firstcanadianhealth.biz/ http://www.tcig.biz/

Resumes can be emailed to:

HR Administrator: emusgrove@fchealth.biz