Are you a seasoned professional in the Group Health and Dental claims field, looking to take on an exciting new challenge? Do you thrive on creating and leading teams while shaping processes in an innovative environment? If so, we have the perfect opportunity for you. The Manager Group Health & Dental Claims is a hands-on leadership role and will be crucial for the development of our newly formed group health and dental claims department. The ideal candidate will bring a wealth of experience in health and dental claims management, combined with proven leadership skills to build a high-performing team. As the Manager Group Health & Dental Claims, you will play a key role in designing and optimizing claims processes, ensuring regulatory compliance, while providing exceptional service to members and other stakeholders, all while exceeding performance metrics. **Essential Responsibilities:** - Establish, mentor and lead a new claims processing team by fostering a collaborative environment that prioritizes accuracy, efficiency and employee engagement. - Design and implement health and dental claims processing workflows that ensure timely and compliant handling of claims. - Provide ongoing training and development opportunities for your team to ensure they are equipped with the necessary skills and knowledge. - Create a client service culture and embed client engagement by inspiring and motivating the claims team to provide the best claims experience in Canada. - Conduct regular health and dental claim file reviews and performance assessments, to identify and evaluate trends, to optimize processes and provide recommendations for technology enhancements. - Possess excellent communication strategies to handle disputes and escalations, working with claimants and Plan Sponsors to find fair resolutions. - Other duties as assigned. **Qualifications:** - This is a hands-on leadership role. The manager is expected to be directly involved in operational activities to ensure a thorough understanding of processes, responsibilities, and team functions. - Minimum 1-3 years experience of developing and leading a Health & Dental claims adjudication team. - Minimum 3-5 years experience in group benefits Health and Dental Claims adjudication with a deep knowledge of claims processing and regulations is required. - Bachelor's degree in Human Resources, Business Administration or equivalent is an asset. - Excellent organizational, analytical and interpersonal skills with the ability to manage multiple priorities. - Strong problem-solving and decision-making abilities with a focus on providing a client focused approach. - Excellent communication skills with the ability to convey complex information clearly to various stakeholders. - Proficient in MS Office Suite (e.g. Word, Excel, Outlook, and PowerPoint). - Experience working with Customer Service Software (DialPad, HubSpot). - Fluent in English with proven competencies in verbal and written communication is required. - Fluent in French with proven competencies in verbal and written communication is an asset. - Successful completion of a credit, criminal, education, employer reference/verification, and professional designation checks before employment is required.