Claims Assessor

Job Description:
Are you a person with a knack for providing excellent customer service? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you

As a Claims Assessor, you’ll be evaluating and enforcing claim benefits and limitations based on a comprehensive understanding of the applicable policy wording. The claims assessor is responsible for qualifying a claim/bill for payment. Claims are reviewed for customer service and may require direct client contact. The assessors are responsible to contribute to cost containment efforts by validating bills for services rendered, authenticity and reasonable and customary charges.

**What does your typical day look like?**
- Review applicable policy wording and validate claim coverage;
- Review all verbal and written communication within the file;
- Review bills for rendered services, coding, and reasonable & customary charges;
- Review medical information submitted for necessity of further requirements or internal specialist review;
- Establish presence of claim requirements as per policy wording (i.e.: proof of payment and authenticity of bills/claims);
- Request missing claim components as required for adjudication;
- Ensure creation of appropriate follow up workflows;
- Confirm and adjust (if required) claim entries.

**What skills and training do you need?**
- A University degree or college diploma preferred, but not required;
- Experience in insurance product benefits and limitations an advantage;
- Comprehension of healthcare system and billing practices an advantage;
- Proficiency in Microsoft Office suite;
- Excellent verbal and written communication skills in English, bilingualism is an asset (French most preferred);
- Excellent organizational skills with a strong attention to detail and strong decision-making skills;
- Ability to adapt to on-going change and work volumes in a fast-paced, customer focused environment;
- Work from our Sherbrooke office.

We offer you:

- Global Excel offers more than a position;
- We offer a professional future with a competitive compensation including base salary, performance bonus and benefits;
- Please reach out to your local HR department if you would like to know more about benefits offered in your site.

**To get a taste of the Global Excel life** and for more information on our**company**, visit our Facebook page**and website**: