Medical Claims Specialist

4 weeks ago


Ottawa, Ontario, Canada People Corporation Full time

Job Summary

We are seeking a highly skilled Medical Claims Clerk to join our team at People Corporation. As a Medical Claims Clerk, you will be responsible for 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 and document maintenance.
  • Verify eligibility of members, drugs, services, providers, co-insurance, deductibles, payments, and procedure/dental codes.
  • Interpret policies and administrative practices and correctly apply them in the adjudication of claims.
  • Liaise with medical professionals and provide accurate and timely information/assistance to members and clients.

Requirements

  • 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.

What We Offer

  • 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 Us

At People Corporation, we are committed to helping businesses succeed. 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.

About Coughlin & Associates Ltd.

Coughlin & Associates Ltd. is a full-service benefits consultant and third-party administrator. Our services include group benefits consulting and plan marketing, plan administration and correspondence, and claims adjudication and payment. Established in 1958, Coughlin & Associates Ltd. provides services to some of Canada's most respected companies, unions, and public service organizations.



  • Ottawa, Ontario, Canada People Corporation Full time

    Job Title: Medical Claims ClerkWe are seeking a highly skilled Medical Claims Clerk to join our team at People Corporation. As a Medical Claims Clerk, you will be responsible for processing group plan member health claims by applying established policies and procedures.Key Responsibilities:Respond to clients, members, or other external contacts in a prompt,...


  • Ottawa, Ontario, Canada People Corporation Full time

    Job DescriptionWe are seeking a highly skilled Medical Claims Clerk to join our team in Ottawa. The ideal candidate will have excellent communication skills and the ability to work accurately in a fast-paced environment.About the RoleThis is an exciting opportunity for a motivated individual to join our dynamic team as a Medical Claims Clerk. As a key member...


  • Ottawa, Ontario, Canada People Corporation Full time

    Job Title: Medical Claims ClerkWe are seeking a highly skilled Medical Claims Clerk to join our team at People Corporation. As a Medical Claims Clerk, you will be responsible for processing group plan member health claims by applying established policies and procedures.Key Responsibilities:Respond to clients, members, or other external contacts in a prompt,...


  • Ottawa, Ontario, Canada People Corporation Full time

    About the Role:We are seeking an experienced Medical Claims Clerk to join our team at Coughlin & Associates in Ottawa. The successful candidate will be responsible for processing group plan member health claims by applying established policies and procedures.Key Responsibilities:Responding to clients, members, or other external contacts in a prompt,...


  • Ottawa, Ontario, Canada Administrative Full time

    Role OverviewWe are seeking a highly skilled Multilingual Disability Case Manager and Medical Claims Specialist to join our team. This role is an excellent opportunity for individuals who want to make a difference in the lives of others by supporting our client partners.This full-time position offers remote work from home flexibility, making it ideal for...

  • Claims Specialist

    2 weeks ago


    Ottawa, Ontario, Canada Sedgwick Full time

    Sedgwick is seeking a dedicated Claims Specialist to handle losses and claims for property and casualty insurers. As a Claims Specialist, you will be responsible for examining insurance policies, interviewing claimants, and determining insurance coverage.Key Responsibilities:Examine insurance policies and other records to determine insurance...


  • Ottawa, Ontario, Canada Xpera Full time

    Property Claims SpecialistWe are seeking an experienced Property Claims Specialist to join our team. As a Property Claims Specialist, you will be responsible for adjusting property claims while ensuring that business development opportunities are maximized.Key Responsibilities:Adjust property claims in a timely and professional mannerMarket and follow-up on...

  • Claims Specialist

    1 month ago


    Ottawa, Ontario, Canada Definity Full time

    Job SummaryWe are seeking a highly skilled Claims Specialist to join our team at Definity. As a Claims Specialist, you will be responsible for investigating, evaluating, and resolving large or complex property losses, including losses of a suspicious nature.Key ResponsibilitiesInvestigate and evaluate complex property losses, including losses of a suspicious...


  • Ottawa, Ontario, Canada CA003 Victor Insurance Managers Inc (CA) Full time

    Victor Insurance Managers Inc. - A Leading Managing General Agent in Canada Job Description: As a Insurance Claims Specialist with Victor Insurance Managers Inc., you will play a vital role in managing and resolving insurance claims in a dynamic and collaborative environment. Our Ottawa-based team is seeking a highly skilled and motivated individual to...


  • Ottawa, Ontario, Canada Crawford & Company Full time

    Job Title: Content Claims SpecialistWe are seeking a highly skilled Content Claims Specialist to join our team at Crawford & Company. As a Content Claims Specialist, you will play a critical role in supporting our clients by handling content claims with accuracy and efficiency.Key Responsibilities:Conduct onsite visits to meet with adjusters and...

  • Claims Adjuster

    1 week ago


    Ottawa, Ontario, Canada Xpera Full time

    Job SummaryWe are seeking an experienced Claims Adjuster to join our team as a Liability Specialist. This is a full-time opportunity that involves adjusting claims while maximizing business development opportunities.


  • Ottawa, Ontario, Canada Acera Insurance Full time

    Claims Advisor, Commercial Insurance SpecialistWe are seeking a skilled Claims Advisor, Commercial Insurance Specialist to provide support for claims to our commercial department teams. This includes reporting claims and advocating for the client throughout the claims journey. The advisor will also liaise with the adjuster and insurance company on their...

  • Claims Specialist

    2 weeks ago


    Ottawa, Ontario, Canada TD Bank Full time

    Job DescriptionWe are seeking a Claims Specialist to join our team in Ottawa, Ontario. As a Claims Specialist, you will be responsible for supporting customers with their auto insurance claims.Company OverviewTD Bank is one of Canada's largest financial institutions, and we're committed to providing legendary experiences and trusted advice to our...


  • Ottawa, Ontario, Canada Acera Insurance Full time

    Job OverviewA career opportunity has arisen for a Commercial Insurance Claims Specialist to join our team at Acera Insurance. This role involves providing support to commercial department teams by reporting claims and advocating for clients throughout the claims journey.ResponsibilitiesReporting claims and liaising with adjusters and insurance companies on...


  • Ottawa, Ontario, Canada beBee Professionals Full time

    Claims Processing SpecialistbeBee Professionals is seeking a highly skilled Claims Processing Specialist to join our team in Ottawa. The successful candidate will be responsible for managing and processing insurance claims, ensuring accuracy and compliance with regulatory requirements.Key Responsibilities:Manage and process insurance claims in a timely and...

  • Claims Specialist

    6 days ago


    Ottawa, Ontario, Canada Definity Full time

    About the RoleAt Definity, we're seeking a talented Claims Specialist to join our team in Auto Claims Examination. This is an exciting opportunity for a motivated individual to make a real difference in the lives of our customers.In this role, you'll be responsible for investigating and settling first-party automobile claims. You'll provide prompt,...


  • Ottawa, Ontario, Canada Intact Financial Corporation Full time

    We are seeking a Property Claims Specialist I to join our team at Intact Financial Corporation. This role involves evaluating property damage and determining replacement or restoration requirements.The ideal candidate will have a university degree or relevant training, along with high-level knowledge of estimating software such as Xactimate/XactAnalysis. A...


  • Ottawa, Ontario, Canada Definity Full time

    Job DescriptionThe Claims Quality Assurance Specialist will lead the implementation and execution of a technical file review program within the claims area of the business, ensuring compliance with regulatory requirements and company standards. This role will work closely with Claims VPs and Directors, Actuarial and Insurance Risk teams to drive claims...


  • Ottawa, Ontario, Canada Sirva Bgrs Llc Full time

    Sirva Bgrs Llc is seeking a highly skilled Data Claims Coordinator to join our team. As a key member of our relocation services team, you will be responsible for the processing and verification of claims, advances, and supplier invoices for our clients.As a Data Claims Coordinator, your primary responsibility will be to analyze claims, advances, and supplier...


  • Ottawa, Ontario, Canada Acera Insurance Full time

    About the Role We are seeking a highly skilled and organized Commercial Insurance Claims Support Specialist to join our team at Acera Insurance. This is a full-time, permanent position based in Brampton, ON or Ottawa, ON. Key Responsibilities Support the commercial department teams by reporting claims and advocating for clients throughout the claims...