Claims Administrator

1 week ago

Winnipeg, Manitoba, Canada Wawanesa Insurance Full time

Job Overview

Working under general supervision, this role supports Wawanesa's success by providing claims administrative support to claims adjudicators and case managers within the claims department in an accurate and timely manner. This includes reviewing contract wording, and accurately setting up claims on our inhouse system. As well, this role is responsible for providing excellent customer service to our clients over the phone and email, responding to their inquiries and proactively responding to their needs.

Job Responsibilities

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 two (2) years' 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. Wawanesa is proud to be one of , a in Canada and a in Canada recognizing an exceptional place to work

Diversity, Equity & Inclusion
Wawanesa is an equal opportunity employer and is committed to fostering a diverse workforce that is equitable and inclusive for all. Wawanesa provides equal employment opportunity to all employees and applicants without regard to an individual's protected status: race/ethnicity, colour, religion, creed, sex or gender, sexual orientation, gender identity or expression, family or marital status, pregnancy/childbirth or related conditions, national origin, disability, military or veteran status, or any other protected status. Disability or medical-related accommodations are available upon request throughout all aspects of the recruitment and selection process.

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