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Claims Examiner
2 months ago
We are seeking a highly skilled Claims Examiner to join our team at MSH Americas - Diot-Siaci Group. As a Claims Examiner, you will be responsible for processing a variety of different claims and communicating these decisions to providers, members, and clients.
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.
- Work closely with claimants, providers, agents, brokers, other insurance carriers, or their representatives.
- Work closely with other departments within the company on a day-to-day basis.
- Maintain accurate documentation on all claim files.
- Adjust reserves following the insurer's guidelines.
- Present cases and participate in discussions during file reviews and appeals.
- Ensure all work complies with the PIPEDA and HIPAA.
- Support department initiatives and objectives.
- Provide guidance and mentorship to peers.
- Other related duties as assigned.
- High school diploma or University Degree or equivalent.
- Minimum 2-3 years of relevant travel insurance or medical insurance claims processing experience.
- Bilingual: English/French is required.
- Strong analytical and problem-solving skills.
- High level of proficiency in Microsoft Office suites.
- Superior verbal and written communication skills in English and/or French.
- Strong time management and organizational skills.
- Must successfully apply for Alberta Adjuster License within one month of hire.
- Hybrid work environment.
- Excellent health benefits.
- Employee assistance program.
- Wellness account.
- RRSP matching.
- Minimum 3 weeks' vacation.
- Generous allowances for sick and flex days.
- Tuition reimbursement program.
- Opportunities to learn new skills, grow, and move into different roles.
- A work environment that embraces diversity and promotes inclusivity.
- Supportive leadership prioritizes your success and cares about your well-being.
- A growth trajectory that is designed to expand both vertically and horizontally, providing you with opportunities to pursue your passions and acquire new skills.
