Review incoming claims for completeness, ensuring coverage and eligibility requirements are met.
Identify areas within claims requiring clarification prior to adjudication.
Support our clients by responding to their phone and email inquiries
Process claims documents
Maintain records of individual workload.
Perform other duties as assigned.
Qualifications
Post-secondary diploma in Business Administration, Medical Office Assistant or a related field, or an equivalent combination of education and experience is required.
Minimum of 6 months experience in an office environment is required.
Experience working in a medical office or in an insurance environment is considered an asset.
Excellent computer skills and knowledge of the Microsoft Office suite is required, including the ability to perform complex calculations using Excel or otherwise.
Strong time management and organizational skills with the ability to establish priorities among competing deadlines while maintaining service standards in a team environment.
Strong attention to detail with the ability to identify relevant information and potential impacts.
Strong communication skills, with the ability to communicate at the right level for the intended audience, including internal and external customers through written or verbal communication.
Excellent ability to contribute to a strong team environment
Ability to handle sensitive information while following confidentiality guidelines/legislation.
Bilingual (English & French) is considered an asset.