Clerk ; OPOP​/OPIP Claim Coordinator

Position: Clerk 3 (OPOP/OPIP Claim Coordinator)
Competition # : 49487
Department:
Health and Wellness

Location:

HALIFAX
Type of Employment:
Permanent
Union Status: NSGEU - NSPG
Closing Date: 04-Aug-26 (Applications are accepted until 11:59 PM Atlantic Time)
About Us  The Department of Health and Wellness offers opportunities to grow and advance in a dynamic sector that touches the lives of all Nova Scotians. Along with our partners, including the Nova Scotia Health Authority and the IWK Health Centre, we’re committed to continually improving our health care system. With a focus on collaborative primary health care, improved supports for mental health and addictions, digital health, capital infrastructure, and more, the department is thinking differently about how to plan, fund, legislate and monitor to improve access and service delivery.

To do this, we need leaders at all levels of the organization who embrace a challenge and believe in their ability to make a difference.
About Our Opportunity  As a Health Claims Clerk, you will play an important role in supporting the administration of out-of-province healthcare claims for Nova Scotia residents.
Working as part of the Benefits Eligibility team, you will review, process, and reconcile healthcare claims submitted by hospitals and health organizations across Canada. You will help ensure that claims are assessed accurately, payments are processed correctly, and inquiries are handled professionally and efficiently.
This position is well suited to someone who enjoys detailed administrative work, problem solving, working with financial information, and providing excellent service to both internal and external clients.
Primary Accountabilities   Review out-of-province outpatient hospital claims for accuracy and completeness.
Process claims and maintain records using specialized billing and tracking systems.
Verify eligibility for Nova Scotia health coverage and assess claim requirements.
Investigate discrepancies, adjustments, and billing issues.
Communicate with healthcare organizations, government partners, and residents regarding claim eligibility and reimbursement processes.
Prepare payment documentation and support financial reconciliation activities.
Record and maintain accurate claim and payment information for reporting and statistical purposes.
Process refunds, payment adjustments, and replacement payment requests.
Respond to inquiries from healthcare providers, government partners, and members of the public.
Assist with program reporting, special projects, and administrative support activities.
Contribute ideas and recommendations that improve processes, service delivery, and system effectiveness.
Provide backup support for mail pick up and distribution, and other team functions as required.
Qualifications And Experience  To be successful in this role, you have at least 4 years related experience performing administrative work that requires a high degree of accuracy and attention to detail in a computerized accounting environment; or an
equivalent combination of training and experience may be acceptable.
You Demonstrate   Experience reviewing, processing, and maintaining records, financial transactions, or claims-related information.
Strong analytical and problem-solving skills with the ability to investigate discrepancies and resolve issues.
Experience working with computerized databases, financial systems, or record management systems.
Strong written and verbal communication skills.
Proven ability to manage multiple priorities while maintaining accuracy and confidentiality.
Processing health-related claims, benefits, insurance, or reimbursement transactions.
Working with financial reconciliation, accounts payable, or payment processing.
The Following Experience Is Considered An Asset   working within the healthcare sector, public service, or a regulated environment.
Knowledge of reciprocal billing programs or health coverage administration.
We will assess the above qualifications and competencies using one or more of the following tools: written examination, standardized tests, oral presentations, interview(s), and reference checks.
Equivalency  We recognize equivalent combinations of training, education, and…