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Medical Claims Examiner

2 months ago


Toronto, Ontario, Canada MSH Americas - Diot-Siaci Group Full time
Job Summary

We are seeking an experienced Claims Examiner to join our team at MSH Americas - Diot-Siaci Group. As a Claims Examiner, you will be responsible for processing travel insurance claims, communicating with providers and clients, and ensuring accurate documentation of all claim files.

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.
  • Maintain accurate documentation on all claim files.
Requirements
  • Minimum 2-3 years of relevant travel insurance or medical insurance claims processing experience.
  • 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.
Preferred Qualifications
  • Experience in handling Canadian and US medical invoices/claims.
  • Solid Team Player.
What We Offer
  • Wellness account.
  • A work environment that embraces diversity and promotes inclusivity.
  • Flexible work hours 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.