Medical Claims Processor

2 weeks ago


Toronto ON, Canada MSH Americas - Diot-Siaci Group Full time

You are an experienced Claims Examiner who can handle a large case load, multi-task, and meet tight deadlines. You thrive in a fast-paced environment providing excellent customer service in both the claim turnaround and handling emails and incoming calls. You will have the desire to develop an in-depth understanding of this position and be able to easily maneuver through numerous policies to assess claims and inquiries accurately. You will be responsible for processing a variety of different claims and communicating these decisions to providers, members, and clients. You have strong time management skills, claims experience, and policy interpretation.

Process travel insurance claims for medical, trip cancellation/interruption, baggage, dental, and vision claims up to the designated limit.
Adjudicate claims according to various benefit policies
Handle both inbound and outbound calls, and complaints, and provide excellent customer service for claims matters both in person and via written correspondence
Maintain accurate documentation on all claim files
Minimum 2-3 years of relevant travel insurance or medical insurance claims processing experience
Bilingual: English/French is required
High level of proficiency in Microsoft Office suites
Superior verbal and written communication skills in English and/or French
Must successfully apply for Alberta Adjuster License within one month of hire

Experience in handling Canadian and US medical invoices/claims
Solid Team Player

Wellness account
A work environment that embraces diversity and promotes inclusivity.
Our work week is Monday to Friday, 8 hours per day. The hours are flexible, with start times between 8 am and 10 am. MSH Americas is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status under applicable law. The information provided during the accommodation request process will be handled, saved, and utilized in accordance with the laws that apply to it as well as the rules of MSH International.


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