Expert en sinistres automobile télétravail au Québec chez Sedgwick, qui gère des réclamations d’assurance. Enquête sur les sinistres, analyse la couverture et négocie les règlements.
About the role
- Claims Coordinator managing health insurance claims for Alberta Blue Cross in Edmonton. Entering, adjudicating, and resolving claims and member inquiries in a temporary 12-month role.
Responsibilities
- Enter and manage claims to ensure timely payment for providers and members
- Research and compile information from various sources to resolve inquiries and claim discrepancies
- Consult with senior staff when assistance is required
- Respond to internal customer inquiries regarding benefits and claims assessment
- Follow through to resolve inquiries effectively and efficiently
- Contact providers and members to obtain information needed to assess claims
- Adjudicate claims according to unit procedures and Claim Services standards
- Monitor individual production to meet claim turnaround and volume expectations
- Suggest improvements to workflows and processes
Requirements
- Demonstrated excellence in verbal communication and listening skills
- Demonstrated excellence in accuracy and multitasking under tight time frames and heavy workload
- Ability to work with minimal supervision and within a team environment
- Problem-solving and decision-making capabilities
- Strong organizational skills
- Strong attention to detail
- Desire for continuous learning
- Proficiency with Microsoft Office Suite is required
- Willingness to work scheduled shifts within business hours of 8:00 a.m. and 5:00 p.m.
- Willingness to work extra hours and overtime hours as needed
- Satisfactory criminal record check required as a condition of employment following a conditional offer
Benefits
- Diversity and inclusion-focused workplace
- Healthy work-life balance
- Opportunities for career growth
- Innovative, high-energy, team-focused environment
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
No Education Requirement
Location requirements
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