Claims Assessor(Non-Medical)

Global Excel Management IncWindsor, ON, CA

30+ days ago

Salary

CA$41.57 hourly

Job description

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 :