Claims Assessor(Non-Medical)

Job title:

Claims Assessor(Non-Medical)

Company

Global Excel

Job description

Job DescriptionAs 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.

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Expected salary

Location

Windsor, ON

Job date

Wed, 29 May 2024 01:01:27 GMT

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