Team Lead, Health & Dental Claims

 Saskatchewan Blue Cross®, one of Saskatchewan’s Top Employers, is currently recruiting for a full-time temporary Team Lead, Health & Dental Claims, in the Health & Dental Claims Department. This is a temporary opportunity for up to 12 months with the possibility of extension. This position offers the flexibility to be in-office or participate in hybrid options in our Saskatoon or Regina office locations.

JOB FUNCTION

If you are passionate about providing exceptional customer service, have an interest in the insurance industry, and enjoy leading and providing mentorship to a team, then we’re looking for you! Reporting directly to the Manager, Health & Dental Claims, the Team Lead is responsible for leading day-to-day operations and driving the achievement of departmental and individual goals, projects, and objectives. This position is responsible for the effective and efficient delivery of health, dental, and travel claims adjudication services and handling of claim-related escalations, inquiries, complaints, or appeals in a timely and professional manner. This successful candidate will oversee the work of direct reports, including performance management and coaching, and participate in the hiring, selection, and onboarding processes.

WHY CHOOSE SASKATCHEWAN BLUE CROSS?

We’re driven by a mission to empower communities on their journey to whole health and wellness, and have a lot of exciting things ahead of us. We’re improving our members’ experiences through investment in our people, technology, services and products. When you join our team, you’re joining an organization where employees are valued, recognized for their contributions and empowered to make us stronger. The wellbeing of our employees, our members, our partners and our communities is at the heart of our operations.

Our industry is evolving fast, and so are we! We’re looking for people who:

• Share our values


• Believe that creating great experiences is totally within their control


• Collaborate and always set others up for success


• Build positive relationships and an understanding of what people’s needs are


• See solutions and possibilities (not problems!)


• Are simply outstanding at what they do

DUTIES & RESPONSIBILITIES

• Monitor, maintain, and provide ongoing evaluation of delivery standards


• Review, analyze, and respond to inquiries and effectively handle all escalated claims, appeals, or complaints


• Responsible for the skill development and performance management of direct reports


• Support the Manager, Health & Dental Claims, and other Team Lead(s) with:
  
  
  
  • Resource planning and management
  
  
  • Research, development, and maintenance of adjudication practices, processes, and standards
  
  
  • Analyzing claims data, preparing reports, and communicating results
  
  
  • Planning, implementation, and monitoring department work plans
  
  
  • Recruitment and onboarding
  
  
  • Responding to new developments and trends in technology
  
  
  
  


• Participate and represent the department on various internal and/or external committees or initiatives as required


• Ensure adherence to strict confidentially guidelines


• Other related projects and duties as assigned

QUALIFICATIONS & SKILLS

• Completion of a Certificate from an accredited post-secondary institution in a relevant field (i.e. Business), or an equivalent combination of education, training and experience is required


• A minimum of 3 years of related experience working within the insurance industry, specifically Health, Dental and Spending account benefits and adjudication


• Previous leadership experience would be considered an asset


• Familiarity with and adherence to Saskatchewan Employment Legislation


• Dedication to provide exceptional client service to all Saskatchewan Blue Cross clients, staff, and external stakeholders


• Robust written and oral communication abilities


• Excellent organizational, research, and analytical skills with the ability to summarize information into reports and other documents


• Strong working knowledge of Microsoft 365 with the ability to understand and learn new systems


• Admirable leadership skills, including motivating, developing, coaching, and leading teams


• Proven problem-solving skills with the ability to determine root causes and provide recommendations to management, staff, and stakeholders


• Demonstrate ability to collaborate across the organization, seeking to understand the interests of others, and support the collective mandate of Saskatchewan Blue Cross


• High level of professionalism and strict adherence to confidentiality


• Legally entitled to work in Canada on an unrestricted basis


• Criminal Record and background check satisfactory to Saskatchewan Blue Cross

Saskatchewan Blue Cross is an equal opportunity employer committed to diversity and inclusion and considers all qualified applicants for employment without regard to race, color, religion, age, sex, sexual orientation, gender, gender identity, national origin, disability, veteran status, or any other legally protected characteristic.  

We are also deeply committed to Indigenous inclusion. We recognize the importance of lived experience, cultural knowledge, and traditional leadership. These are valued alongside conventional qualifications as part of our holistic approach to recruitment.

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