Claims Administrator

Description:

Job Responsibilities

• Review incoming claims for completeness, ensuring coverage and eligibility requirements are met.
• Identify areas within claims requiring clarification prior to adjudication.
• Support our clients by responding to their phone and email inquiries
• Process claims documents
• Maintain records of individual workload.
• Perform other duties as assigned.

Qualifications

• Post-secondary diploma in Business Administration, Medical Office Assistant or a related field, or an equivalent combination of education and experience is required.
• Minimum of 6 months experience in an office environment is required.
• Experience working in a medical office or in an insurance environment is considered an asset.
• Excellent computer skills and knowledge of the Microsoft Office suite is required, including the ability to perform complex calculations using Excel or otherwise.
• Strong time management and organizational skills with the ability to establish priorities among competing deadlines while maintaining service standards in a team environment.
• Strong attention to detail with the ability to identify relevant information and potential impacts.
• Strong communication skills, with the ability to communicate at the right level for the intended audience, including internal and external customers through written or verbal communication.
• Excellent ability to contribute to a strong team environment
• Ability to handle sensitive information while following confidentiality guidelines/legislation.
• Bilingual (English & French) is considered an asset.