Bilingual Claims Administrator

3 weeks ago

Toronto, Canada MSH International (Canada) Ltd. Full time

**About Us**:
We are seeking ambitious individuals who share our values and our passion for making a positive impact on people's lives around the world. If you are looking for a career that challenges and inspires you, then you've come to the right place.

**About You**:
**In this role, you’ll get to experience**:

- Handle incoming phone calls from members and providers regarding claims status and accurately document all communication on the claim system
- Triaging all incoming claims mail received, and adding to claims and/or redirecting to the examiners when necessary
- Escalate complaints, appeals, and legal correspondence as appropriate
- Filter denied EOBs and place them in a relevant folder to be mailed out
- Handle all inquiries regarding accounts receivables from providers
- Upload EFT information to the Accounting team for paid claims
- Retrieve claims documents from sFTP sites used by some providers
- Ensure all work complies with PIPEDA and HIPAA
- Provide excellent customer service for claims matters both in person and via written correspondence
- Work closely with the Claims team and other teams as required on a day-to-day basis
- Open claims and enter invoices into the claims system

**What you bring**:

- High school diploma or equivalent
- Experience in the travel insurance industry is required
- Bilingual: English and French are required
- Minimum 2-3 years of previous administration experience
- High level of proficiency in MS Office Suite, specifically Word, and Excel
- Superior verbal and written communication skills
- Strong time management and organizational skills
- Strong analytical and problem-solving skills

**What do you need to succeed?**
- Experience with travel, medical, dental, and vision claims or working in a support role for the claims team
- Cost containment/provider relations experience
- Experience with medical coding standards
- GHIP recovery/coordination of benefits/subrogation
- Experience in handling US medical invoices/claims

**What’s in it for you**:

- Hybrid work environment
- Excellent health benefits
- Employee assistance program
- Wellness account
- RRSP matching
- Minimum 3 weeks’ vacation
- Generous allowances for sick and flex days
- Tuition reimbursement program
- Opportunities to learn new skills, grow, and move into different roles
- A work environment that embraces diversity and promotes inclusivity.
- Supportive leadership prioritizes your success and cares about your well-being.
- A growth trajectory that is designed to expand both vertically and horizontally, providing you with opportunities to pursue your passions and acquire new skills.

**Additional Notes**
- The hours for this position are 9 am-5 pm Monday through Friday. Flexibility in hours may be negotiated with your manager.
- Additional hours may be required based on the needs of the business.

**MSH is an Equal Opportunity Employer**

**Benefits**:

- Dental care
- Employee assistance program
- Extended health care
- Life insurance
- Paid time off
- RRSP match
- Tuition reimbursement
- Vision care

Flexible Language Requirement:

- French not required

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday

Supplemental pay types:

- Bonus pay
- Overtime pay

**Language**:

- French (preferred)

Work Location: Hybrid remote in Toronto, ON M9N 1L5

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