Claims Assessor- EN

Conteúdo do emprego

Job Description

Are you a person who is detailed oriented has excellent organizational skills? Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you!

As a Claims Assessor - Medical in the Claims Management team, you’ll be responsible for reviewing, examining and processing claims. Your role is to be an advocate for both the company and the client.

What does your typical day look like?

• Acknowledging receipt of claim forms with claimant
• Verifying policy information to evaluate payment eligibility
• Investigate, evaluate and settle claims
• Contact or correspond with claimant, doctors and brokers to obtain any additional information required to validate claim
• Prepare letters detailing non-covered benefits or partial payments
• Handle incoming call inquiries from claimants/providers regarding claim status
• Handle first level of disputes or complaints from clients/providers and escalate to supervisor when necessary
• If applicable, translate clinical notes for team members and perform other duties as assigned
  

What skills and experience are we looking for?

• University/College Degree and high school diploma with relevant experience or international education experience
• Strong communication skills, both verbal and written
• Ability to handle sensitive and confidential information
• Ability to assess situations, respond appropriately and make independent decisions
• Benefits or claims examination experience is an asset
• Bilingualism in French is an asset
• Regular business hours; 8:30am-5:00pm
  

What does Global Excel offer you?

• Global Excel offers more than a position;
• We offer a professional future with a competitive compensation including base salary, performance bonus and benefits;
• Please reach out to your local HR department if you would like to know more about benefits offered in your site.
  

We offer you

• 37.5 hour work week
• Two weeks vacation
• Room for growth and advancement
• Social committee
• Wellness Program
• Good work/life balance
• Onsite Deli offering fresh food for purchase
• Comfortable Office Environment with your own work space
• Bilingual bonus when applicable