Claims Examiner

1 week ago


Toronto, Ontario, Canada MSH Americas - Diot-Siaci Group Full time
About the Role

We are seeking a highly skilled Claims Examiner to join our team at MSH Americas - Diot-Siaci Group. As a Claims Examiner, you will play a critical role in managing a large case load, multitasking, and meeting deadlines.

Key Responsibilities
  • Claims Processing: Assess claims accurately, interpret policies, and collaborate effectively with the team to ensure timely and efficient processing of travel insurance claims.
  • Customer Service: Provide top-notch customer service to claimants, providers, agents, brokers, and other departments, handling inbound and outbound calls, resolving complaints, and delivering excellent service.
  • Documentation and Compliance: Maintain detailed claim documentation, follow guidelines to adjust reserves, and ensure compliance with regulations.
  • Team Collaboration: Participate in file reviews and appeals, support department initiatives, and provide guidance to peers.
Requirements
  • Education: High school diploma or equivalent.
  • Experience: 2-3 years of travel insurance or medical claims processing experience.
  • Language: English/French bilingualism.
  • Skills: Analytical and problem-solving skills, proficiency in Microsoft Office, excellent communication skills, time management and organizational skills, and Alberta Adjuster License.
What We Offer
  • Hybrid Work Environment: Enjoy a flexible work schedule with the option to work from home.
  • Benefits: Comprehensive health benefits, employee assistance and wellness programs, RRSP matching, and three weeks' vacation.
  • Professional Development: Opportunities for growth and skills development, tuition reimbursement, and a diverse and inclusive work environment.

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