Manager, Group Health Claims

Please note the base salary will be determined by the successful candidate's education, skills and experience. The listed salary range serves as a general pay guideline for this position's pay level.

Manager, Group Health Claims

Location: Remote - Anywhere in Canada

Empire Life is looking to hire a Manager, Group Health Claims to join our Group Health Claims team!

Why pursue this opportunity

Join a transforming business - we are a medium-sized Canadian company in a stable industry which is rapidly transforming. 

Play an integral role - this is an opportunity that allows for you to grow your skills, while directly contributing to the business unit you are a part of.

The opportunity - collaborate with cross-functional teams and work on a variety of projects that will keep you engaged and continuously learning.

What you’ll be working on

• Provides business leadership, expert consultation and solution generation to ensure effective operations, continuous improvement and supports a positive customer experience.

• Support the Division’s customer service delivery promise through timely decision making on escalated issues that may have a significant impact on service and/or profitability; conduct investigation and make recommendations for resolution; provide leadership and guidance to team for response development

• Actively leads work teams devoted to innovation in product, process and operational initiatives

• Strong knowledge of drug plan management programs. Develop, implement and review programs and policies to support operational objectives including the development of best practices and protocols, 

• Develop relationships with industry contacts, represent Empire and provide insight through industry committee involvement on industry changes and trends. 

• Foster an environment of learning, collaboration and continuous improvement; oversee programs that develop employees knowledge and expertise

• Review and analyze metrics dashboard for activity, trends, quality and departmental performance metrics and foster an environment of accountability to meet business goals and service standards

• Coach and mentor employees, identify employee training, set goals and objectives and effective individual development plans, accountable for resource management,  recruitment, performance management  

• Participate in the development of the unit budget and manage department expenses; authorize and validate journal entries, cheque registers and monthly reporting

• Identify, monitor and interpret data in order to identify trends & take appropriate action

• Provide guidance and leadership on contract interpretation and recommend changes 

• Develop and maintain key distribution partner relationships

• Act as a subject matter expert for the department with key internal and external stakeholders

• Identify and escalate situations to Senior Management that present a potential high risk and provide guidance and recommendations to staff and Senior Management in the resolution of escalated issues

What we’re looking for you to have

• 5+ years work expertise in Group benefits, drug plan management, pharmacy benefit management, pharmaceutical industry, or claims administration

• Completion of a college diploma or university degree with a with a concentration in one of the following areas: Business, Accounting, Data Analytics, MIS, Mathematics, Statistics, or similar

• Combination of education or experience in data analytics, group insurance industry, process improvement and/or leading operational teams

• Well-developed analytical, decision-making and problem solving skills

• Ability to conduct research, investigate and analyze

• Ability to prioritize and balance multiple tasks or projects

• Attention to detail/accuracy

• Ability to make independent decisions with significant reputational and financial implications to the company

• Clear writing, listening and verbal communication skills

• Bilingualism (English/French) is considered an asset

• If you are applying for a position which is open to applicants across Canada, unless otherwise indicated in the position, language proficiency in English is required for communicating with customers, advisors, or employees across Canada.

Beyond the salary

For regular full-time positions, Empire Life offers a comprehensive total rewards package that includes:

• Competitive salaries with annual pay increases

• Annual bonus program, which recognizes both strong company performance and individual contributions, for non sales positions

• Competitive uncapped commission, for sales positions

• A comprehensive employer-funded benefits package starting from day one of employment, that includes life insurance, disability, health and dental and a generous health account

• Flexible work arrangements and an annual allotment of personal health days.

• Four weeks annual vacation from hire date

• A defined contribution pension plan with generous employer matching

• Top up programs for parental leave and compassionate leave

• Employer-sponsored wellness and recognition programs

• A cash employee referral program

To learn more about working at Empire Life, visit https://www.empire.ca/workatempire.

Get to know us

Empire life is proud to be an equal opportunity employer. We celebrate diversity, are committed to creating an inclusive environment, and welcome everyone to participate in our application process. We encourage those of all backgrounds and experiences to apply, even if you don't believe you meet each unique qualification outlined. Applicants will receive equal consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, or age. 

Empire Life welcomes applications from people with disabilities and disabled people. Accommodations are available upon request for candidates taking part in all aspects of the screening and selection process. If you need this job posting in an alternative format or have any accessibility questions, please contact recruitment@empire.ca .