Claims Adjudicator

3 weeks ago

Greater Sudbury, Canada ClaimSecure Full time

Reporting to the Manager, Claims Adjudication, the Claims Adjudicator is responsible for processing paper, photo eClaims and pre-determinations for members and providers within corporately established turnaround times and accuracy rates.

**Principal Responsibilities**:

- Process paper, photo, auditable eClaims and pre-determinations for members and providers daily
- Maintain an acceptable daily claims count to ensure turnaround times are met
- Ensure all policies and procedures are followed to ensure accuracy rates are met
- Perform other duties as assigned to support ClaimSecure

**Knowledge, skills and experience**:

- Grade 12 diploma
- Two years’ experience in data entry
- Excellent verbal and written communication skills
- Proven data entry skills
- Attention to detail

**Job Types**: Full-time, Permanent

**Salary**: From $34,345.00 per year

**Benefits**:

- Dental care
- Disability insurance
- Employee assistance program
- Extended health care
- Flexible schedule
- Life insurance
- Paid time off
- RRSP match
- Vision care
- Wellness program
- Work from home

Flexible Language Requirement:

- French not required

Schedule:

- 8 hour shift
- Monday to Friday
- No weekends

**Experience**:

- Data entry: 1 year (preferred)

Work Location: Hybrid remote in Sudbury, ON P3C 1S8

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