We are hiring a Junior Claims Adjudicator to join our BPA team in Vaughan. This is a term position ending on February 7, 2027.The Junior Claims Adjudicator provides timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under the L.I.U.N.A. Local 183 Member’s Benefit Trust Fund. They provide courteous and professional customer service while maintaining departmental standards.This is a full‑time, in‑office position with hours from Monday to Friday, 8:30 a.M. to 4:30 p.M.The Junior Claims Adjudicator WillAnalyze and adjudicate paper or electronically submitted claims, according to contract provisions and maintain a claims assessment quota of 140 claims per day, depending on claim complexity.Evaluate all claims within the 5‑day service standard of the Company.Correspond and communicate via telephone, written correspondence or face‑to‑face with members, consultants, providers and other internal and external customers.Apply guidelines, determine coverage, complete eligibility verification, and identify discrepancies.Verify data entry for accuracy and completeness.Provide the Claims Team Lead with dental claims that need further review to a dental consultant.Enter data for claims sent to a dental consultant and confirm it on a spreadsheet.Maintain security and confidentiality of client records.Perform other duties as may be assigned from time to time by Management.To be successful as a Junior Claims Adjudicator with BPA, you will needAnalytical skills to research, review, and assess claims.Familiarity with contract wording,



policy provisions and the Insurance Act.Compliance with government regulation pertaining to the Privacy Act (PPEIDA).Strong verbal and written communication skills.Strong attention to detail with exceptional organizational skills.Ability to manage multiple cases simultaneously.Intermediate computer skills using Microsoft Word, Excel, Outlook, AS400, CRM, Telus, and Adjudicare to enter and track program data, process claims, and prepare reports and correspondence.Participation in company‑sponsored insurance programs such as FLMI, ACS, ALHC, and C.E.B.S. and successful completion of these courses of study during tenure in the position.Cooperative team player with strong interpersonal skills.Exceptional customer service skills.All‑star Candidates Will HaveProficiency in Portuguese, Italian, or Spanish will be considered an asset.What’s In It For YouLearn by working alongside our experts.Extended health care and dental advantages.A retirement savings plan with company contributions.A suite of health and wellness offerings.Mental health programs and support for you and your family.Assistance for the completion of industry designations.Competitive compensation.BPA is a division of People Corporation and has served members and beneficiaries in their local communities since 1958. BPA is dedicated to providing a superior benefits experience to its members, businesses, and trusts in the local communities in which they live and operate. We provide an inclusive, accessible environment where all employees and clients feel valued, respected, and supported. If you require an accommodation or an alternative format of any posting, please reach out to [email protected] base salary for this position is between $50,000 and $52,000 annually. This represents base salary only and does not include other variable compensation components. If you are selected to move forward in our recruitment process, the Talent Acquisition Specialist will be able to provide additional details of the total compensation for this role.#J-18808-Ljbffr

📌 Junior Claims Adjudicator (Term) - C$50,000 - C$52,000 A Year (Winnipeg)
🏢 BPA
📍 Winnipeg