Claims Examiner
Claims Examiner
Posted on :
11-09-2024
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Job Description
Claims Examiner/Adjuster
Kitchener ON (Onsite)
6month contract
Review examine calculate and make decisions on a variety of claims in accordance with applicable policy and service standards. Required to attain performance objectives on a monthly basis.
- Reviewing examining calculating and making decisions on a variety of claims received in the claims processing unit to ensure the claim is paid under the respective policy and within the contracted timeframes.
- Conducting research via policies/flipcharts that can provide additional information needed to adjudicate claims.
- Entering notes into the computer system/databases as required.
- Facilitating stop payment requests and processing reissues accordingly.
- Placing outbound calls to customers or providers to obtain information required to adjudicate a claim.
- Creating and sending various types of professional correspondence.
- Responding to interdepartmental inquiries.
- Responding to escalations in a timely manner.
Qualifications:
- Postsecondary education
- Minimum of 612 months experience as a Claims Examiner or similar role.
- Ability to pay close attention to detail and multitask.
- Possess sound judgment and good decisionmaking skills.
- Fluency in French is preferred.
What we offer you:
- The opportunity to build a longterm and successful career for yourself in the insurance industry
- A competitive salary which includes a number of specialty premiums reflecting the work you do
- A Referral Program that rewards you for referring your qualified friends and family
- Employee discounts at a wide variety of retailers and services
- The opportunity to grow with a large global organization
Remote Work :
No
Employment Type
Full Time
Key Skills
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