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Medical Claims Examiner

2 months ago


Toronto, Ontario, Canada MSH Americas - Diot-Siaci Group Full time
Job Title: Medical Claims Processor

MSH Americas - Diot-Siaci Group is seeking an experienced Claims Examiner to join our team.

About the Role

We are looking for a skilled Claims Examiner to process a variety of different claims and communicate these decisions to providers, members, and clients. The ideal candidate will have strong time management skills, claims experience, and policy interpretation.

Key Responsibilities
  • Process travel insurance claims for medical, trip cancellation/interruption, baggage, dental, and vision claims up to the designated limit.
  • Adjudicate claims according to various benefit policies.
  • Handle both inbound and outbound calls, and complaints, and provide excellent customer service for claims matters both in person and via written correspondence.
  • Maintain accurate documentation on all claim files.
Requirements
  • Minimum 2-3 years of relevant travel insurance or medical insurance claims processing experience.
  • Bilingual: English/French is required.
  • High level of proficiency in Microsoft Office suites.
  • Superior verbal and written communication skills in English and/or French.
  • Must successfully apply for Alberta Adjuster License within one month of hire.
What We Offer
  • A work environment that embraces diversity and promotes inclusivity.
  • A wellness account.
  • A flexible work week with start times between 8 am and 10 am.

MSH Americas - Diot-Siaci Group is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status under applicable law.