Claims Adjudication Officer at Department of Health

Job Title: Claims Adjudication Officer
Company Name: Department of Health
Location: Fredericton, NB (In-person)
Job Type: Full-time

Job Summary:
The Department of Health is seeking a Claims Adjudication Officer to join the Medicare & Physician Services Branch in Fredericton. This role is crucial for reviewing claims, analyzing information, and ensuring accurate claim payments while maintaining confidentiality and compliance with privacy legislation.

Key Responsibilities:

• Review claims and analyze information to apply assessment rules for claim payments.
• Facilitate accounting functions related to submissions and reconciliations for payments.
• Liaise with the public and the physician community.
• Interpret acts, regulations, and policies.
• Process a high volume of data entry.
• Prepare correspondence.
• Collaborate with team members on claims.

Required Qualifications:

• High school diploma supplemented by a one (1) year post-secondary program diploma in business administration, office administration, or a related field.
• Coursework in Medical Terminology.
• Five (5) years of related experience, including experience in Microsoft Office, or
• A high school diploma supplemented by coursework in Medical Terminology and six (6) years of related experience, including experience in Microsoft Office.
• An equivalent combination of education, training, and experience may be considered.
• Written and spoken competence in English and French is required; please state your language capability on your application.

Preferred Qualifications:

• Enrollment in or willingness to enroll in an online Medical Terminology Certificate if not already completed.
• Demonstrated ability to work collaboratively with colleagues and clients.
• Strong critical analysis and sound judgment skills.
• Ability to work autonomously and achieve results with minimal supervision.

Salary and Benefits:

• Salary: $1,816 to $2,205 bi-weekly (ASL 4).
• Comprehensive benefits package including paid vacation, Health and Dental Plan, Life Insurance, Long-Term Disability, and the New Brunswick Public Service Pension Plan.
• Free access to Employee and Family Assistance Program (EFAP) and services.
• Opportunities for career growth, development, and continuous learning.

Application Process:
We encourage applicants to apply online at GNB Careers or by mail to the following address by February 26, 2025, indicating competition number 35-24-0030:

Department of Health
Human Resources
4th floor, 520 King Street
Fredericton, NB E3B 5G8
Telephone: (506) 453-4331
E-Mail: HR-RH.DH-MS@gnb.ca

We thank all applicants; however, only those selected for further consideration will be contacted. Candidates registered with the Equal Employment Opportunity Program and veterans who demonstrate they are among the most qualified will be given preference at the time of appointment.

We promote a scent-reduced environment and are an Equal Opportunity Employer.

The New Brunswick Public Service: Improving the lives of New Brunswickers every day!