Team Leader

5 days ago

Windsor, Ontario, Canada Global Excel Management Inc Full time
{"title": "Team Leader - Medical Claims Assessment", "description": "

Job Summary

Global Excel Management Inc is seeking a highly skilled Team Leader to join our Claims Team. As a Team Leader, you will be responsible for overseeing the Claims Team Members, ensuring prompt examination and administration of claims, and meeting the operation goals and objectives of Active Care Management.

Key Responsibilities

  • Oversee Claims Team Members and provide guidance and support as needed.
  • First point of contact for Claims Examiners regarding procedural and workflow issues.
  • Participate and provide feedback with Claims Managers regarding personnel activity concerning hiring, training, development, and evaluation of Claim Examiner performance.
  • Assure claims processing timeframes and deliveries are adhered to.
  • Handle first level of disputes or complaints from clients/providers and escalate to manager when necessary.
  • Prepare and review monthly reports.
  • Train new Claims Examiners on functions of the Oversee the "nesting period" of new staff.
  • Implement process and workflow changes when required to ensure quality of work metrics are met.

Requirements

  • A University degree or college diploma preferred, but not required.
  • 2-3 years Claims Assessment experience.
  • Full understanding of travel insurance, insurance terminology, and claims management.
  • Must be meeting or exceeding requirements of current position (Claims Assessment).
  • Proficiency in Microsoft Office suite.
  • Excellent organizational skills with a strong attention to detail and good problem-solving skills.
  • Ability to handle sensitive and confidential information.
  • Show empathy, understanding, and patience to customer needs and ability to deal with sensitive and stressful situations.

What We Offer

  • Three weeks of vacation.
  • An extensive benefit package that includes health (100%), dental, life, and travel insurance, as well as a retirement savings plan.
  • A flexible and supportive work environment offering several benefits such as a wellness program.
  • Onsite deli offering fresh food for purchase.
  • Many opportunities for advancement and development.
", "lang_code": "en"}

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