Claims Assessor

1 week ago

Winnipeg, Canada People Corporation Full time

We are seeking a Claims Assessor to join our Coughlin team in Winnipeg, MB for an 16 -month term.

The Claims Assessor is required to handle the daily volume of telephone inquiries as well as process group plan member health & dental claims by applying established policies and procedures, and to respond to
inquiries related to claims, benefits payable, and general group plan policies.

The Claims Assessor will:
  • Processing paperless and traditional claims, which could include Cost-Plus Plans or Health Care Spending Accounts, and using the claims system to properly identify missing information.
  • Verifying cheques, letters, forms, addresses, and reports for accuracy and completion.
  • Producing claims payments, including applying applicable deductibles.
  • Investigating complaints, over and underpayments, and taking corrective action.
  • Interpreting policies and administrative practices and correctly applying them in the adjudication of claims.
  • Responding to clients, members, or other external contacts in a prompt, efficient, and courteous manner at all times.
  • Preparing correspondence using company standard templates for members, carriers, or clients.
  • Providing accurate and timely information/assistance to members and clients concerning
    coverage, processing and paying claims, and benefits parameters.
To be successful as a Claims Assessor with Coughlin & Associates, you will need:
  • A good vocabulary of medical and dental terminology.
  • Sound knowledge in the concept of group or individual benefits administration.
  • Sound knowledge of Microsoft Office and standard office administration procedures.
  • The demonstrated ability to learn and master new software and technology.
  • Excellent grammatical, spelling, and communication skills in both official languages.
  • The ability to maintain good public relations, both within and outside the organization.
  • The ability to extract and interpret or simplify information from various technical sources.
  • Strong mathematical and organizational skills, the ability to prioritize and multi-task, and the
    ability to manage time effectively.
  • The ability to adhere to existing company policies and procedures.
  • The ability to use tact and discretion to maintain information in the strictest of confidence.
All-star candidates will have:
  • Experience processing electronic claims.
What's in it for you:
  • Learn by working alongside our experts
  • Extended health care and dental benefits
  • A retirement savings plan with company contributions
  • A suite of Health & Wellness offerings
  • Mental Health programs and support for you and your family
  • Assistance for the completion of industry designations
  • Competitive compensation

At People Corporation we are committed to helping businesses succeed. We are a national provider of benefits, retirement, wealth, wellness, and human resource solutions. Our experts and solutions serve over 20,000 clients representing nearly 3 million Canadians. We offer customized solutions designed to fit the unique needs of businesses and their employees, members and stakeholders.

About Coughlin & Associates Ltd.:

Across the country, thousands of Canadians rely on Coughlin & Associates Ltd. to design and administer their group medical, dental, disability, life insurance and pension benefits. Coughlin is a full-service benefits consultant and third party administrator. Our services include:

  • Group benefits consulting and plan marketing
  • Plan administration and correspondence
  • Claims adjudication and payment

Established in 1958, Coughlin & Associates Ltd. provides services to some of Canada’s most respected companies, unions and public service organizations

Providing an inclusive, accessible environment, where all employees and clients feel valued, respected and supported is something we're committed to. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employeehas the opportunity toreach their potential. If you require an accommodation or an alternative format of any posting please reach out to careers@peoplecorporation.com

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