Senior Claims Adjudicator - 3sHealth
S
Saskatchewan Health Authority
📍 regina, division no. 6, Canada
Job Description
Shape the future of claims management at 3sHealth as a Senior Claims Adjudicator in Regina. Focus on ensuring fair adjudication of disability claims while promoting timely and effective treatment outcomes for clients.
This role demands collaboration with plan members, employers, and healthcare providers to navigate complex claims. Utilizing your expertise in case management, you will evaluate medical documentation and make informed decisions on eligibility. Your experience in claims adjudication is crucial for effectively managing this impactful position.
Key Responsibilities:
• Evaluate and verify disability claims eligibility
• Establish return-to-work strategies and recovery plans
• Communicate with stakeholders on claims status and policy
• Lead coordination with external medical consultants
• Drive continuous improvement initiatives in claims processes
Requirements:
• University degree in Nursing, Kinesiology, or related field
• At least five years’ e...
This role demands collaboration with plan members, employers, and healthcare providers to navigate complex claims. Utilizing your expertise in case management, you will evaluate medical documentation and make informed decisions on eligibility. Your experience in claims adjudication is crucial for effectively managing this impactful position.
Key Responsibilities:
• Evaluate and verify disability claims eligibility
• Establish return-to-work strategies and recovery plans
• Communicate with stakeholders on claims status and policy
• Lead coordination with external medical consultants
• Drive continuous improvement initiatives in claims processes
Requirements:
• University degree in Nursing, Kinesiology, or related field
• At least five years’ e...