1 meilleure offre (claims processor, toronto, on) (à pourvoir)

Bilingual Claims Administrator
MSH INTERNATIONAL CANADA LTD. —Toronto, ON
- 45 000 $ par an
- Télétravail
- Bilingue
- Microsoft Word
- Microsoft Excel
- Assurance Dentaire
- Bourses d'Études
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Bilingual Claims Administrator
MSH INTERNATIONAL CANADA LTD. —Toronto, ON
This role involves handling inbound and outbound phone calls, as well as answering a variety of emails from providers and plan members.
45 000 $ par an
Postuler rapidement
French Bilingual – Evergreen Posting
Foresters Financial Services, Inc. —Toronto, ON
Answer inbound service-related calls regarding all aspects of doing business with Foresters Financial and Foresters Financial activities.

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Bilingual Claims Administrator

MSH INTERNATIONAL CANADA LTD. -
Toronto, ON

Postuler rapidement

Détails du poste

45 000 $ par an

Profil recherché

Bilingue
Microsoft Word
Microsoft Excel
Classement
Microsoft Office
Diplôme d'études secondaires
Esprit d'analyse
Sens de l'organisation
Compétences en communication
Gestion du temps

Description complète du poste

About You:

You are an experienced administrative professional who can multitask and meet tight deadlines. You thrive in a fast-paced, team environment and will provide excellent customer service via email, fax, and phone. You will have the desire to develop an in-depth understanding of this position and be able to easily maneuver through numerous policies to assess claims and inquiries accurately. You are a powerful team player.

The Claims Administrator will be responsible for providing administrative support on claims. This role involves handling inbound and outbound phone calls, as well as answering a variety of emails from providers and plan members. The Claims Administrator assists the claims processors in adjudicating claims when necessary. This role requires strong time management skills, claims experience, and policy interpretation.

In this role, you’ll get to experience:

Provide excellent customer service for claims matters both in person and via written correspondence
Handle both inbound and outbound calls to members and health providers as required
Work closely with the Claims team and other teams as required on a day-to-day basis
Ensure all work complies with the PIPEDA and HIPAA
Answering emails and responding accurately to claims inquiries ensuring customer satisfaction
Accurately document all communication with members and providers in magenta
Triaging all incoming claims mail and validating coverage
Entering all claims in magenta upon receipt of the mail
Generating payments on approved/denied claims; sending payments to the Accounting department and emailing/mailing denials to members/providers
Filing claims and purging files when required
Processing and packaging Morcare claims for iA
Reviewing /closing pending claims

What you bring:

High school diploma or equivalent
Experience in the travel insurance industry is required
Minimum 2-3 years of previous administration experience
High level of proficiency in MS Office Suite, specifically Word and Excel
Superior verbal and written communication skills
Strong time management and organizational skills
Strong analytical and problem-solving skills

What do you need to succeed?

Snowbird, expatriate insurance, TPA experience
Cost containment/provider relations experience
Experience in processing health, dental, and vision claims or working in a support role for a claims team
Experience with medical coding standards
GHIP recovery/coordination of benefits/subrogation
Experience in handling US medical invoices/claims

What’s in it for you:

Hybrid work environment
Excellent health benefits
Employee assistance program
Wellness account
RRSP matching
Minimum 3 weeks’ vacation
Generous amount of sick and flex days
Tuition reimbursement program
Opportunities to learn new skills, grow, and move into different roles
A work environment that embraces diversity and promotes inclusivity.
Supportive leadership prioritizes your success and cares about your well-being.
A growth trajectory designed to expand vertically and horizontally, providing opportunities to pursue your passions and acquire new skills.

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Bilingual Claims Administrator

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