Temporary position for 12 months
As a claims technician, you help process life and health insurance claims, promote occupational health and manage disabilities. You provide discipline-specific technical support and help your unit carry out its activities, initiatives and processes in accordance with established policies and procedures. You support your unit's more experienced employees and assist with technical work and analysis involving processes, information management and data processing. The ability to tailor your approach as needed and make sound decisions is therefore essential. More specifically, you will be required to:
Process claims, assessing eligibility in accordance with the contractual clauses of the insurance policy. If necessary, direct more complex claims to another processing level.
Establish benefit amount and process payment.
Codes and enters data into appropriate systems.
Report unusual or more complex situations to immediate supervisor.
Review and process complaints and dissatisfaction files as required.
Participate in the organization of work and in the search for continuous improvement in relation to unit activities.
Communicate, as required, verbally or in writing, with various health professionals, partners or customers to obtain or provide information, justifications or explanations concerning files.
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