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•Claims Administrator – 100% Remote

•Claims Administrator – 100% Remote

Recrute ActionMontréal, Québec, Canada
30+ days ago
Salary
CAD85000–CAD93000 yearly
Job type
  • Remote
Job description

Claims Administrator – Remote Start date for the first class : September 17th

Start date for the second class : October 15th

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 cutting-edge cloud-based 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 $
  • 6-month contract with the potential for permanent employment.
  • Full-time position : 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 high-quality customer service by meeting pre-established 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 team's 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 : Post-secondary 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 high-quality customer service.
  • Team Collaboration : Proven ability to work effectively both independently and as part of a team in a fast-paced 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.