Health Insurance Claims Agent

Posted 2 days ago

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About the role

  • Agent managing specialized health insurance claims for Beneva, an insurance and financial services company. Analyzing medical evidence, communicating decisions, serving policyholders, and processing payments.

Responsibilities

  • Review, process, and analyze health insurance benefit claims for specialized products
  • Analyze information contained in assigned files, taking into account contractual provisions, medical and/or death-related evidence, government programs, and internal policies and procedures
  • Communicate decisions or recommendations primarily in writing regarding benefit approval, requests for additional information, or claim denials
  • Provide customer service to insured individuals, policyholders, and/or beneficiaries
  • Obtain specific information, communicate claim-related information, and respond to calls
  • Perform technical tasks to support the management of assigned files
  • Use relevant computer systems to update data and process payments in accordance with contracts and internal guidelines

Requirements

  • Hold a college diploma (DEC) in a relevant field
  • Advanced proficiency in French, both spoken and written
  • Advanced proficiency in English, both spoken and written

Job title

Job type

Full Time

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Associate's Degree

Location requirements

HybridLongueuilCanada

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