Adjudicator, Claims Services

Closure Date: August 19th @ 11:59 PM CST

Position #: 182567

Union: Out of Scope

Bargaining Unit: OOS - 3sHealth T&C

City/Town: Regina

Facility: 3sHealth

Department: Employee Benefits

Type: Full-time permanent

Expected Start Date: September 7, 2026

Number of positions: 1

Hours of Work: 1 week rotation

Salary: Pay Band 4 ($69,051 to $89,766)

About the Role

3sHealth is seeking knowledgeable and motivated Claims Adjudicators to join our Employee Benefits team. In this role, you will be responsible for the adjudication and proactive case management of short-term (bridge) and long-term disability claims under the Disability Income Plans.

You will work closely with plan members, employers, healthcare providers, and internal partners to support recovery, optimize treatment outcomes, and facilitate safe and timely return-to-work solutions. This position plays a key role in balancing compassionate client service with sound decision-making and effective cost management.

What Youll Do

Claims Assessment & Eligibility

• Assess disability claims to determine initial and ongoing eligibility in accordance with Disability Income Plan provisions.
• Verify plan membership eligibility and ensure complete and accurate documentation is maintained.
• Review, interpret, and evaluate medical information to determine total disability status.
• Establish recovery expectations and develop strategies to support treatment and return to work.
• Set medical review requirements and coordinate referrals to medical consultants as needed.

Claims Management & Coordination

• Coordinate internal and external resources such as rehabilitation consultants, medical consultants, and independent medical examination providers.
• Guide plan members through applications for other benefit sources (e.g., CPP Disability, Workers Compensation, third-party liability).

Appeals & Decision Review...

For more information on this job, please visit the employer's website.