Become a Claims Adjudicator at GMS, where we prioritize customer care and community support. This role focuses on accurately processing health and pharmacy claims, ensuring timely resolutions.

At GMS, we are seeking a Claims Adjudicator responsible for processing claims and communicating effectively with clients and providers. You will review and assess claims based on policy provisions and directly handle customer inquiries to enhance their experience.

This vital role also includes identifying potential fraudulent claims and offering guidance as needed.

Key Responsibilities:

- Adjudicate health and pharmacy claims accurately
- Process claims within established turnaround times
- Update knowledge of benefit standards and procedures
- Investigate potential fraudulent claims diligently
- Communicate with clients for claims inquiries

Requirements:

- High school diploma required; higher education an asset
- 1 to 3 years of insurance or medical office experience
- Familiarity with medical terminology beneficial
- Proficiency in MS Office applications
- Attention to detail and analytical thinking skills

Focus on customer care and accuracy in claims processing as part of the GMS team.

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📌 Claims Adjudicator at GMS (Regina)
🏢 Group Medical Services
📍 Regina