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

Preferential hiring is given to candidates of Indigenous ancestry including status and non-status First Nations, Metis and Inuit. We encourage applicants to include this information in their email subject line when applying.

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
• Scan and store claims based on benefits ensuring the accuracy of receive date
• Distribute claims to Processor based on Benefits,
• 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, familiarity working with multiple screens and experience with data entry
• Experience working in an operational setting is an asset
• Working knowledge of Microsoft Office Suite Tools (Word, Excel, Outlook)
• Ability to work effectively in a fast paced, rapidly changing environment
• Ability to work within a team
• 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 work stations

Benefits of Working with FCH:

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

For more information about First Canadian Health, and our parent company, Tribal Councils
Investment Group, please visit: https://firstcanadianhealth.biz/ http://www.tcig.biz/

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 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 First Canadian Health policies.

Job Types: Full-time, Permanent

Benefits:

• Casual dress
• Dental care
• Extended health care
• Paid time off
• Vision care

Schedule:

• 8 hour shift

Supplemental pay types:

• Bonus pay

COVID-19 considerations:
FCH adheres to strict public health protocols for COVID-19 precautions.

Ability to commute/relocate:

• Toronto, ON: reliably commute or plan to relocate before starting work (required)

Experience:

• Indigenous Cultural Awareness: 7 years (preferred)

Work Location: One location

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