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Medical Claims Specialist
2 months ago
We are seeking a highly skilled Medical Claims Clerk to join our team at People Corporation. As a Medical Claims Clerk, you will play a crucial role in processing group plan member health claims, responding to inquiries, and performing administrative duties.
Key Responsibilities:- Process group plan member health claims by applying established policies and procedures.
- Respond to written, electronic, or in-person inquiries related to claims, benefits payable, and general group plan policies.
- Perform other related administrative duties, including data entry, verification of eligibility, and claims payments.
- Liaise with medical professionals and provide accurate and timely information to members and clients.
- Interpret policies and administrative practices and correctly apply them in the adjudication of claims.
- Electronic data and document maintenance, including scanning, faxing, filing, destroying, photocopying, data entry, and preparing documents for these actions.
- A good vocabulary of medical terminology.
- Sound knowledge in the concept of group or individual benefits administration.
- Sound knowledge of Microsoft Office and standard office administration procedures.
- The demonstrated ability to learn and master new software and technology.
- Strong mathematical and organizational skills, the ability to prioritize and multi-task, and the ability to manage time effectively.
- The ability to adhere to existing company policies and procedures.
- The ability to use tact and discretion to maintain information in the strictest of confidence.
- Learn by working alongside our experts.
- Extended health care and dental benefits.
- A retirement savings plan with company contributions.
- A suite of Health & Wellness offerings.
- Mental Health programs and support for you and your family.
- Assistance for the completion of industry designations.
- Competitive compensation.
About People Corporation: We are a national provider of benefits, retirement, wealth, wellness, and human resource solutions. Our experts and solutions serve over 20,000 clients representing nearly 3 million Canadians. We offer customized solutions designed to fit the unique needs of businesses and their employees, members, and stakeholders.
