Bilingual Claims Administrator.Remote role office located in Toronto.The Claims Administrator provides administrative support to the Claims Team, handling phone calls, emails, and claims processing...Voir plusDernière mise à jour : il y a 3 jours
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SAFETY FIRST SECURITY SERVICES INC.Scarborough, ON, CA
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SME PIZZA ONTARIO LTD.Scarborough, ON, CA
26,92 $CA par heure
Temps plein +1
Education : Secondary (high) school graduation certificate.Experience : 2 years to less than 3 years.Review and evaluate new administrative procedures.
Establish work priorities and ensure procedures ...Voir plusDernière mise à jour : il y a plus de 30 jours
The Claims Administrator provides administrative support to the Claims Team, handling phone calls, emails, and claims processing tasks. This role requires strong time management and communication skills. Bilingual proficiency in English / French is preferred.
Key Responsibilities :
Manage inbound / outbound phone calls and document communications in the claims system.
Respond to emails, triage claims mail, and direct to appropriate folders or examiners.
Escalate complaints, appeals, and legal correspondence as needed.
Process denied EOBs, accounts receivable inquiries, and EFT information for paid claims.
Retrieve and manage claims documents from provider sFTP sites.
Maintain compliance with PIPEDA and HIPAA regulations.
Enter invoices and open claims in the claims system.
Provide excellent customer service and collaborate with teams daily.
Qualifications :
High school diploma or equivalent.
2+ years of administrative experience, preferably in the travel insurance industry.
Previous claims experience is a real asset
Proficiency in MS Word and Excel.
Strong communication, organizational, and problem-solving skills.
Bilingual in French and English is preferred.
Preferred Skills :
Experience with travel, medical, dental, and vision claims.
Knowledge of medical coding, cost containment, GHIP recovery, and US medical claims.
This is currently for an active job opportunity .
By applying, you will be part of our trusted network, ensuring our recruiters match you with suitable roles. Let us help you take the next step in your career journey!