Claims Adjuster I assisting customers who have suffered minor injuries from motor vehicle accidents. Ensuring timely investigation and adjudication of medical claims.
About the role
- Claims Analyst processing health and dental claims with data entry and assessments. Engaging in customer service and maintaining claims accuracy in a paperless environment.
Responsibilities
- Receiving and assessing claims through a scanned image/paperless environment;
- Processing health and dental claims
- Ensuring all details have been provided to accurately process and approve claims;
- Asking questions to determine and clarify details on claim submissions;
- Organizing work and information to ensure claims are paid accurately and efficiently.
- Provide excellent customer service when calling providers or members.
Requirements
- Post-secondary education in a related field.
- Minimum six months work experience in an office and customer service environment.
- Experience with data entry, knowledge of claims processing, eligibility and claims systems, and medical terminology is considered an asset.
- Experience working with Microsoft Office Suite.
- Bilingualism in English and French is considered an asset.
Benefits
- Comprehensive health, vision and dental plan that is 100% employer paid effective on your first day.
- 100% employer-matched Defined Contribution Pension Plan
- Annual Incentive Bonus which recognizes your contribution to our success.
- In addition to paid vacation, we offer a gifted week of vacation in your first year and an optional Vacation Purchase Program.
- Flexible work arrangements and emphasis on work-life balance.
- Remote and hybrid work options.
- Opportunities for personal and professional growth, meaningful experiences, and supportive leadership.
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