Job Description

DescriptionOur client located in Hamilton who is a large Insurance provider is looking for a Customer Service Representative (Travel Claims Examiner) to join their team!This position features:
-Salary: $55,000/year
-Hybrid (3 days on site & 2 days work from home). Fully in office for training period.
-Extensive training
-Paid sick & vacation days
-Excellent benefit package
-RRSP contribution
-Annual bonus
-Will pay for continuing educationLocation: Hamilton Ontario.
Hours: Monday to Friday 8:30am-4:30pm.Summary Of Job Functions: Reviews, analyzes, investigates, and authorizes payment of Travel claims within authority guidelines. Determines payment by referring to policy coverage and limits and determines course of action (i.e. payment, further investigation, or denial).Responsibilities:
-Reviews claims and extracts information for processing.
-Checks claims against appropriate policies. Interprets policy provisions based on individual circumstances.
-Verifies, corrects, and completes claims information by telephone, letter, or personal contact.
-Interacts with claimants, agents, hospitals, doctors and lawyers.
-Conducts investigations and gathers supporting documentation on individual claims. -Calculates benefits payable.
-Approves (to a specified amount) or denies claims in accordance with established procedures.Qualifications:
-Post secondary education in Finance, Accounting or Commerce/Business program or related insurance studies/designation, or equivalent related work experience.
-Excellent analytical skills.
-Excellent verbal and written communication skills; ability to interact with a variety of people.
-Ability to accept direction but also to take initiative on investigations and paperwork. -Ability to work independently.
-Ability to maintain confidentiality in all matters.
-Customer service oriented.
-Ability to make decisions and handle pressure in a fast paced environment.
-Excellent Word and Excel skills.
-Strong knowledge of medical conditions and terminology plus interpretation and application of financial documentation is a plus.Apply for this great opportunity today!

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