As a Claims Adjudication Representative on our Customer Experience team, you'll review Health Spending Account (HSA) and Wellness Spending Account (WSA) claims and make reimbursement decisions based on each member's plan details and adjudication guidelines. Your decisions need to be accurate, consistent, and fair, and your communication with members needs to be clear, helpful, and respectful. If you like detail-oriented work that directly affects how people use their benefits, this role is for you.What You'll DoReview HSA and WSA claims, checking receipts and supporting documentation to confirm each claim is valid and eligibleApply eligibility criteria and plan rules to make consistent, well-reasoned, and unbiased reimbursement decisionsMake sure every decision complies with internal policies, external regulations, and industry standardsCommunicate clearly with members about claim outcomes and any additional information neededWork with Support and other departments to resolve member inquiries smoothlyFlag emerging patterns, unclear guidelines, or repeated issues to the Adjudication Coordinators and Head of Experience so they can be reviewed and acted onTake part in team discussions and process improvement workKeep up with changes to guidelines, regulations, and plan rules through ongoing trainingHandle private and sensitive information with care,



following our security and privacy standardsWhat You BringStrong analytical and critical thinking skillsExcellent attention to detail and accuracyClear written and verbal communication, with a professional, solution-oriented toneComfort with technology and learning current programsGood time management and reliable follow-throughA collaborative approach to working across teamsA genuine commitment to great customer serviceNice to have: Experience in claims, benefits, or insurance. It's an asset but not required, we'll train you!Role DetailsSalary: $48,000 - $50,000/yearLocation: Hybrid, with in-office days at our Calgary office (candidates must be in Calgary)Schedule: Full-time, Monday to FridayWhat You'll GainYou'll be part of a growing benefits platform and play a direct role in shaping experiences used by businesses across Canada, with real room to learn and grow.We support you with a comprehensive benefits package, including health, dental, vision, and spending accounts. Our vacation policy grows with you, starting at two and a half weeks and reaching four weeks of PTO after three years. You'll have regular one‐on‐one check‐ins, clear performance management, and open feedback, so you always know where you stand and how to grow.Our 17th Ave office is bright, recently redecorated, and stocked with good coffee, a drink fridge, snacks, and friendly people who make coming to work enjoyable.

📌 Claims Adjudication Representative (Calgary)
🏢 myHSA
📍 Calgary