Claim Assessor

Job Description:
Are you a person who is detailed oriented and has excellent organizational skills? Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you

As a Claims Assessor (Medical) in the Claims Management team, you’ll be responsible for evaluating and enforcing claim benefits and limitations. Your role is to be an advocate for both the company and the client.

**What does your typical day look like?**
- Review claims and validate claim coverage;
- Confirm clean bill components are present;
- Review all verbal and written communication within the file and review applicable policy wording;
- Review bills for rendered services, coding, and reasonable customary charges;
- Ensure bills are directed to the appropriate internal financial process;
- Establish presence of claims requirements, as per policy wording (i.e:proof of payment and authenticity of bills/claims);
- Research and confirm global claims influences (i.e. travel advisories);
- Request missing claim components as required for adjudication;
- Clarify and explain denials if required;

**What skills and training do you need**?**
- College diploma or equivalent;
- 1-2 years of experience in a customer service-related position;
- Strong communication skills, both verbal and written;
- Ability to handle sensitive and confidential information;
- Ability to assess situations, respond appropriately and make independent decisions;
- Benefits or claims examination experience is an asset;
- Bilingualism in French is an asset.

**When you apply**:
If you require assistance or accommodation during our recruitment process, please notify Human Resources so that we can review and consider how we may be able to assist you based on your individual needs.

We offer you:

- Global Excel offers more than a position;
- We offer a competitive compensation package that includes a base salary, performance bonus and an extensive benefits package;
- A professional future with opportunities for development, growth, and advancement;
- RRSP Match program;
- Financial assistance to employees who wish to continue their education;
- Work/life balance, health and wellness initiatives including an excellent EAP program;
- Employee engagement programs that focus on fitness, food, and fun.

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