Claims Analyst

Position Type: Permanent If you’re looking for a fulfilling career that can make a real difference in your life, and the lives of others, you’ve come to the right place. As a national health solutions partner, we put people first in everything we do — and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.

Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest — and it’s reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership.

Medavie is where employees can be their best selves, feel they belong, and achieve their full potential.

Job Title: Analyst Department: Claims Job req: R-268810 Internal/External: Internal / External Employment Type: Permanent, Full-Time Location: Montreal, QC (Remote) Salary: $21.02/hour Number of Positions: 1 Reports To: Team Leader, Claims

Join Medavie and help deliver quality service to our members by supporting the processing of health and dental insurance claims.

Responsibilities

• Analyze health and dental insurance claims to determine the eligibility of submitted expenses.
• Apply established coverage provisions, policies, and procedures to approve or deny claims.
• Obtain the information required to process claims by communicating with members by phone or in writing.
• Enter, update, and validate data within the claims processing system.
• Interact with various computer systems to assess member eligibility and coverage details.
• Conduct the necessary research and verification activities to support claim assessment.
• Create and maintain records for self-billed members.
• Perform manual calculations when claims cannot be processed automatically by the system.
• Provide professional, courteous, and efficient customer service.
• Perform other related duties as assigned by the immediate supervisor.

Required Qualifications

• College diploma (DEC) or equivalent combination of education and experience.
• Excellent written and spoken French.
• Good written English skills.
• Knowledge of health and dental insurance is considered an asset.
• LOMA 1 and 2 courses completed in accordance with company policy are considered an asset.

Desired Skills

• Strong analytical and decision-making skills.
• Initiative and ability to work independently.
• High level of accuracy and attention to detail.
• Excellent organizational and prioritization skills.
• Customer-focused with a commitment to delivering exceptional service.
• Ability to quickly learn and work with multiple computer systems.

What We Offer

• Comprehensive group benefits plan including health, dental, travel, life insurance, and long-term disability coverage.
• Comprehensive training and onboarding support.
• Professional development and career growth opportunities.
• A flexible, collaborative, and wellness-focused work environment.
• A culture built on respect, inclusion, and teamwork.

EEO and Inclusion

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds.

To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process.

We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws.

We appreciate everyone who has shown interest in this position.

Only those selected for an interview will be contacted.

While Medavie may use automated tools, including AI, to support application screening, candidates are expected to complete all recruitment interactions independently—without AI assistance—to ensure a fair and equitable process.

We're recognized as one of Canada's best places to work and are a leading provider of health solutions and insurance for 1 in 10 Canadians. Full careers. Full lives.

Medavie is a national health solutions partner and innovative leader in healthcare delivery, benefits management, health management, and primary care. Backed by the strength of a team of 8,500+ professionals from coast to coast, we’re committed to improving the wellbeing of Canadians so that every life can be lived to the fullest. Medavie provides all-in-one private health insurance, public health administration, emergency medical services as Canada's largest contracted provider, as well as primary care, community health, mental health and addictions solutions, medical communications, and clinical training.

As a not-for-profit organization, Medavie is one of Canada’s Top 100 Employers, certified by Imagine Canada for philanthropy and community engagement, and Rainbow Registered as an organization that champions diversity, equity, and inclusion.

#J-18808-Ljbffr