WHO WE ARE

AccertaClaim Servicorp Inc. (ACSI) and its subsidiary, Accerta Services Inc. (ASI), also known as Accerta.

Accerta is a social enterprise, that manages dental, vision, drug, and healthcare benefits programs exclusively for government and social services agencies in Canada. Our targeted experience and innovative technology provide cost savings, reliable service, process continuity, and accurate, insightful data that enables governments to make informed strategic decisions, reducing stress on the healthcare system through streamlined administration.

Accerta is a Certified B Corporation which is a testament to the values we’ve built our business on: serving our customers, caring for our employees, and supporting our community and the environment. Being part of the B Corp movement means we’re committed to continual improvement and making business a force for good. Thank you to our team and stakeholders who have helped us achieve this significant milestone!

ABOUT THIS OPPORTUNITY

The successful candidate will enter and adjudicate claims and responses in accordance with department policies.

ACCOUNTABILITIES

• Enter and adjudicate claims and predeterminations.
• Contact external parties to obtain additional or missing information.
• Process corrections for various work items
• Maintain Provider database where necessary.
• Maintain and protect the confidentiality and privacy of all information.
• Maintain a high level of accuracy in all transactions.
• Assist with the adjudication system testing to ensure the accurate payment of claims.
• Other duties as assigned

QUALIFICATIONS

Knowledge and Experience:

• Ability to process a high volume of work items in a fast-paced environment accurately and efficiently.
• Benefit and or insurance processing background is an asset.
• Strong computer skills and proficiency with Microsoft Office Suite
• The ability to adapt to changing technology, clients, and processes.
• Strong, clear, and concise written and verbal communication skills.
• Interpersonal and communication skills to work effectively with all levels of staff.
• Understanding the Ontario Autism Program is an asset.
• Exceptional organizational skills to work independently and take initiative.
• Previous experience working in customer service.

Education:

• Secondary Diploma or equivalent required.

Technical Skills & Abilities:

• Strong computer skills and proficiency with Microsoft Office programs (Word, Excel, PowerPoint) or equivalent required.
• Familiarity with computers and knowledge of dental procedures code
• Previous experience working with claims software is an asset.
• Problem-solving and analytical reasoning.

WHAT WE OFFER

• Group Benefits: Coverage begins on the employee’s first day and includes a Health Care Spending Account and Personal Spending Account (depending on allocation).
• Pension Plan: Eligibility starts on the employee’s first day, and a 5% employee contribution is matched by a 5% employer contribution.
• Performance-based incentive programs: Opportunities to increase your earnings.
• Growth opportunities in a company that promotes from within.
• Volunteering: Time off to volunteer within our community
• Hybrid: working environment with a laptop and two monitors.
• Home Office Stipend: A one-time payment of $750 included in the employee’s first paycheck.
• Mental Health Support: Access to Mental Health on Demand for employees and their dependents.
• Member Assistance Program: Includes Employee Assistance Program services.
• Community Volunteering: Up to 8 hours of paid time off annually to volunteer in your community.
• Financial Wellness: Opportunities to contribute to non-matching GRRSPs, TFSAs, and FHSAs, along with financial information sessions.
• Education Reimbursement: Tuition reimbursement for post-graduate courses, upon prior approval.
• Employee Referral Reward: Employees can earn a $1,000 reward for successful referrals.

FLEXIBLE WORK ARRANGEMENT:

We support a hybrid approach, which will give everyone the best of both worlds – a mix of home and in-office workdays.  Hybrid schedules will be determined in partnership between individuals, managers, and the team. 

HOW TO APPLY

We accept applications submitted via email to kmcbride@accerta.ca

INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT

Accerta is an equal opportunity employer and committed to fostering diversity and inclusion in the workplace. We are committed to fair employment practices and all qualified applicants will receive consideration for employment. We offer accommodation for applicants with disabilities, as required throughout the recruitment process.  Accommodations are available on request for candidates taking part in all aspects of the selection process.

To request accommodation, please contact accessibility@accerta.ca.

We appreciate your interest in working with us; however, only those applicants selected for interviews will be contacted.

Final candidates for this position may be required to undergo a security screening, including criminal records check, judicial matters check, vulnerable sector screening and employment reference check.  

To learn more about us please go to: www.accerta.ca