Job Description
As a Non-Medical Claims Assessor, you will evaluate and enforce claim benefits and limitations based on a comprehensive understanding of the applicable policy wording.
The claims assessor is responsible for qualifying a claim / bill for payment and reviewed for customer service and may require direct client contact.
What does your typical day look like?
- Review applicable policy wording to validate claim coverage;
- Claims are reviewed with precision for compliance with expressed client directives (as applicable)
- Establish presence of claim requirements as per policy wording (i.e. : proof of payment and authenticity of bills / claims)
- Research and confirm global claim influences (i.e. travel advisories)
- Contact client to request missing claim components as required for adjudication;
- Clarify and explain denials if required;
- Provide notice of claim decision via email, phone or formal letter;
- Ensure creation of appropriate follow up workflows;
- Confirm and adjust (if required) claim entries.
What skills and training do you need?
- College diploma or equivalent;
- Knowledge of insurance product benefits and limitations;
- One to two years of experience in a customer service-related position;
- Strong decision-making skills and attention to detail;
- Excellent verbal and written communication;
- Good organizational skill and ability to prioritize;
- Proficiency in the Microsoft suite products;
- Clear and effective communication in English or French (written and verbal); other languages such as Spanish are an asset;
- Available to work daytime schedule. Evenings and weekends may be requested with appropriate notice.
We offer you
- Competitive wages;
- Bilingual language premium when applicable;
- Group health / dental benefits, RRSP matching;
- Paid training and the opportunity for professional development;
- Growth and advancement opportunities;
- Work life balance;
- Focus on health and wellness initiatives with an excellent EAP program;
- Employee engagement programs that focus on fitness, food and fun.
To get a taste of the Global Excel life and for more information on our company, visit our Facebook page and website :
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