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Medical Claims Clerk
4 months ago
We are seeking a Claims Clerk to join our Coughlin team in Ottawa.
and general group plan policies, and perform other related administrative duties.
**The Medical Claims Clerk will**:
- Data entry related to claims and member correspondence.
- Verifying eligibility of members, drugs, services, providers, co-insurance, deductibles, payments, and procedure/dental codes, including reviewing previous submissions and group contracts/policies.
- Verifying cheques, letters, forms, addresses, and reports for accuracy and completion.
- 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.
- Informing the manager of any issues which arise out of the course of daily work.
- Liaising with medical professionals.
- Restricting access to confidential information pertaining to the company and its stakeholders.
- Training and/or providing guidance to new staff, as required.
**To be successful as a Medical Claims Clerk **with Coughlin & Associates, you will need**:
- A good vocabulary of medical 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.
- 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
- Experience processing electronic claims.
- Bilingualism in both official languages would be considered an asset.
**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
