Claims Administrator 100 Remote
Claims Administrator 100 Remote
Posted on :
24-08-2024
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1 Vacancy
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Job Description
Claims Administrator Remote
Our client a prominent player in the insurance industry is seeking to expand their Group Benefits Canada team by hiring 16 Claims Administrators. This role is integral to supporting the processing of health and dental claims as the team transitions from a legacy system to a cuttingedge cloudbased platform. The position offers the flexibility of remote work from anywhere in Canada making it ideal for professionals who are able to work within Eastern Standard Time hours.
What is in it for you:
Hourly salary of $21.19.
6month contract with the potential for permanent employment.
Fulltime position: 37.50 hours per week.
Weekday schedule from 9:00 am to 5:00 pm EST with required availability during core hours between 10:00 am and 3:00 pm.
Enjoy the flexibility of remote work.
Responsibilities:
Assess and adjudicate complex health and dental claims in accordance with contract provisions ensuring decisions are made efficiently and accurately.
Take ownership of assigned claims prioritizing work based on urgency and client needs.
Maintain highquality customer service by meeting preestablished service standards influencing both internal and external clients.
Contribute to financial efficiency and continuous improvement initiatives within the team.
Work towards improving Net Promoter Scores (NPS) by achieving customer satisfaction and resolution.
Apply risk management tools and techniques effectively to manage claims.
Participate in projects aimed at enhancing claims practices in line with the teams culture of continuous improvement.
Resolve customer and claim issues independently escalating or handing off only when necessary.
What you will need to succeed:
Education and Experience: Postsecondary education is preferred or equivalent experience.
Proficiency: Strong working knowledge of Microsoft Office 365.
Communication: Exceptional verbal and written communication skills for diverse audiences.
Attention to Detail: Quick assessment skills with a strong eye for detail; ability to review receipts extract data and input information accurately.
Customer Service: Strong focus on delivering highquality customer service.
Team Collaboration: Proven ability to work effectively both independently and as part of a team in a fastpaced environment.
Initiative: Ability to take initiative and demonstrate excellent interpersonal skills.
Language Skills: Bilingual in English and French is an asset.
Industry Experience: Previous experience in claims adjudication the insurance or healthcare industry call centers or data processing is a plus.
Why Recruit Action
Recruit Action (agency permit: AP2000003) provides recruitment services through quality support and a personalized approach to job seekers and businesses. Only candidates who match hiring criteria will be contacted.
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Employment Type
Full Time
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