Description:

Express Scripts Canada administers on behalf of Indigenous Services Canada Claim Adjudication.  This role entails adjudicating Non-Insured Health Benefit Dental Claims for Indigenous people in Canada.

The role of a Claims Processor is to register, review, validate, and adjudicate claims on a daily basis ensuring data integrity in the system.  Claims Processors are responsible for processing Pay Provider, Pay Client and Client Reimbursement claims for all regions and are responsible for ensuring all pended claims are processed within the standard turn-around time.

This role is instrumental in meeting our Claims Processing Service Levels which contributes to customer satisfaction and minimizes risk of financial penalties.

Please note, this is a hybrid role working 2-3 days out of our Toronto office after completing 4 weeks of on-site all 5 days training.

Key Responsibilities: