Use analytical judgment and precise review skills as a Claims Adjudication Representative in Calgary, working hybrid on HSA and WSA claims.
On the Customer Experience team, you will assess receipts, documentation, eligibility criteria, and plan rules. You will make fair reimbursement decisions while communicating outcomes clearly and respectfully. The work supports accurate member experiences and requires careful handling of sensitive information.
Key Responsibilities:
- Review HSA and WSA claims and supporting documentation
- Apply plan rules and eligibility criteria consistently
- Communicate claim outcomes and information requirements
- Resolve member inquiries with Support and departments
- Flag unclear guidelines, patterns, and repeated issues
Requirements:
- Strong analytical and critical thinking skills
- Excellent attention to detail and accuracy
- Transparent written and verbal communication
- Comfort learning new technology programs
- Collaborative approach and reliable follow-through
Bring careful claims review, sound judgment, and clear communication to accurate benefits decisions for members in Calgary.
📌 Claims Adjudication Representative Calgary (Canada)
🏢 myHSA
📍 Canada