Claims Examiner

Job title:

Claims Examiner

Company

Randstad

Job description

Are you passionate about helping people? Do you enjoy solving problems and finding creative solutions? Do you have excellent communication skills in both English and French?If you answered yes to these questions, we are looking for someone like you to join a dynamic team!Position: Claims Examiner- Full-Time, 6 month contract
Start Date: January 13, 2025
Hours: Monday to Friday (flexibility required to work an 8-hour shift within this time frame).
Hybrid: 2 days per week in Office- Winnipeg, MBAdvantages
-Full time opportunity: 37.5 hours per week in office full time to start with option of hybrid depending on capability
-6 month contract
-Location: Winnipeg, MB
-Career advancement options
-Potential to have a permanent position
-Being a part of a great team!Responsibilities

• Review system, claim documents and contract to confirm if eligibility requirements are met.
• Accountable for the outreach call to Plan Sponsors and Plan Members within 24 hours of receipt of initial claim information.
• Responsible to communicate via phone calls/emails to verify any discrepancies, missing or unclear information from either Plan Sponsor or Plan Member.
• Responsible for declination letter to Plan Sponsor and Plan Member accordingly.
• Adjudicate and manage the claim if expected to be for a limited duration (known as Quick Pay claims).
• If claim does not meet eligibility for a Quick Pay claim, transfer the claim to the Disability Case Manager for claim adjudication and management and to DCAs for benefit calculation.
• File documents accordingly.

Qualifications

• Minimum of one year within a customer service environment.
• Excellent oral and written communication skills in both French and English would be considered an asset.
• Must be able to understand complex instructions and basic contractual language.
• Knowledge of basic medical terminology.
• Strong typing and data entry skills; proficiency with Microsoft Office programs.
• Demonstrates excellence in phone etiquette and client service.
• Strong and effective organizational and time management skills with the ability to manage multiple priorities.
• Working experience within disability insurance is an asset.

Summary
Please apply directly to Randstad.ca or submit your resume directly to jessica.macchiagodena@randstad.ca to learn more about this exciting opportunityRandstad Canada is committed to fostering a workforce reflective of all peoples of Canada. As a result, we are committed to developing and implementing strategies to increase the equity, diversity and inclusion within the workplace by examining our internal policies, practices, and systems throughout the entire lifecycle of our workforce, including its recruitment, retention and advancement for all employees. In addition to our deep commitment to respecting human rights, we are dedicated to positive actions to affect change to ensure everyone has full participation in the workforce free from any barriers, systemic or otherwise, especially equity-seeking groups who are usually underrepresented in Canada’s workforce, including those who identify as women or non-binary/gender non-conforming; Indigenous or Aboriginal Peoples; persons with disabilities (visible or invisible) and; members of visible minorities, racialized groups and the LGBTQ2+ community.Randstad Canada is committed to creating and maintaining an inclusive and accessible workplace for all its candidates and employees by supporting their accessibility and accommodation needs throughout the employment lifecycle. We ask that all job applications please identify any accommodation requirements by sending an email to accessibility@randstad.ca to ensure their ability to fully participate in the interview process.

Expected salary

Location

Winnipeg, MB

Job date

Thu, 19 Dec 2024 07:18:37 GMT

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