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.

Curieux d’en apprendre davantage sur notre entreprise et la vie chez Global Excel? Visitez nos pages Facebook, Instagram et LinkedIn, et notre site Web:

Expected salary

Location

Windsor, ON

Job date

Wed, 29 May 2024 01:01:27 GMT

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