Claims Clerk

2 months ago

Toronto, Canada The Cigna Group Full time

Reporting to the NIHB Claims Supervisor, the Clerical Clerk is responsible for performing day to day clerical duties with in the Clerical department. This includes opening, sorting mail, printing of faxes and scanning and filing of claim forms. Answering delivery door from couriers on a daily basis. Executing assigned daily tasks as priorities shift. Interact with internal departments to deliver a high level of customer service/satisfaction. This job directly contributes to building a high-performance culture and maximizing the team’s impact.

**Key Responsibilities**:

- Open, sort, batch and scan claims by benefit into bundles of 25 or 50 on a daily basis
- Manage claim returns - print labels and return letters for mail out
- Log claim returns on a daily basis
- Pull claim adjustments as requested by Call Centre
- Pull Claims for Auditor using system generated report provided
- Filing of processor claims
- Answering delivery door on a daily basis
- Identifies efficiencies and process improvements
- Ensure service standards and quality targets are met by monitoring and participating in team activities
- Support the management of Vendors-Canada Post, Superior Courier, Iron Mountain, Neopost Canada
- Order office supplies
- Manage and troubleshoot office equipment -Fax Machine, Printer, Neopost
- Support internal and external mail services - Purolator requests, inter-office mail
- Assist with facility issues and concerns
- On-going collaboration with all departments-managers, supervisors, seniors and staff

**Qualifications**:

- 2+ years’ experience in a clerical/administrative position
- College degree or High school diploma/GED required
- Excellent office and customer service skills
- Ability to multi-task in a busy work environment
- Able to take direction well and work with mínimal supervision
- Demonstrated track record of reliability and dependability
- Demonstrated team player
- Excellent interpersonal skills to facilitate change management
- Must be detail oriented with strong organizational abilities
- Proven ability to manage multiple high priority tasks in a fast-paced environment
- Proven time and resource management skills to ensure deadlines are met
- Strong analytical skills
- Ability to work effectively with internal and external customers
- Excellent verbal and written communication skills
- Must be proficient in Microsoft Office (Excel, Word, Outlook)

**Express Scripts Canada is a Cigna company**

Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

**About Express Scripts Canada**

Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

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