Case Management Administrator

Windsor, ON, Canada

Job Description



Are you a person who enjoys helping people? 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 Case Management Administrator in the Case Management team, you will be reporting to the Case Management Administration Team Leader and will be responsible for all administrative functions regarding the receiving, and efficient processing, of client communications and clinical documentation within the claims system for medically managed cases. You will also be responsible for equitable workload distribution, ensuring to uphold accuracy, and quality of work for time sensitive files. you'll be responsible for backend claims and non-medical claims. Your role is to be an advocate for both the company and the client.

What does your typical day look like?

  • Processing of all incoming email and faxed documents through shared mailboxes;
  • Ensure integrity and accuracy in filing of documents;
  • Accurately update claims files based on new information provided;
  • Calculate reserves as per established guidelines;
  • Contact providers for updated costs as required;
  • Review new claims against the medical guidelines provided to determine if the case meets criteria to be assigned for active case management;
  • Assign a case coordinator by consulting the distribution guidelines and availability.
What skills and experience are we looking for?
  • Intermediate computer skills (Windows, Excel, Outlook);
  • Ability to multitask in a fast-paced work environment;
  • Experience working in a customer service environment;
  • Highly organized with attention to detail;
  • Experience in the insurance and medical billing industry is an asset;
  • Clear and effective communication (verbally and written);
  • Analyze situations and find solutions- Problem solving.
We 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.

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Job Detail

  • Job Id
    JD2068149
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Windsor, ON, Canada
  • Education
    Not mentioned