Claims Examiner
2 months ago
As a Claims Examiner at Global Excel Management Inc, you will play a crucial role in evaluating and processing claims related to non-medical benefits. Your primary responsibility will be to assess and apply the relevant benefits and limitations based on a comprehensive understanding of the applicable policy wording.
Key Responsibilities- Review policy wording to validate coverage;
- Examine claims with precision to ensure compliance with client directives, when applicable;
- Determine the presence of claim requirements according to policy wording (i.e., proof of payment and authenticity of claims/invoices);
- Conduct research and confirm global influences on claims (i.e., travel advisories);
- Communicate with clients to request missing claim components, as needed, for decision-making purposes;
- Clarify and explain denials, as needed;
- Notify clients of claim decisions via email, phone, or official letter;
- Maintain appropriate workflow tracking processes;
- Confirm and modify (as needed) claim wording.
- Diploma in a related field or equivalent;
- Knowledge of insurance benefits and limitations;
- One to two years of customer service experience;
- Strong decision-making and attention-to-detail skills;
- Excellent communication (both written and verbal) skills;
- Good organizational skills and ability to prioritize tasks;
- Proficiency in Microsoft Office products;
- Ability to communicate clearly and effectively in English or French, both written and verbally. Knowledge of another language, such as Spanish, is an asset.
- English will be used to work closely with our Windsor, Ontario office team and conduct daily follow-ups with other departments across our various offices in Ontario, Miami, Mexico, and other locations.
- Available to work daytime hours; May be required to work evenings and weekends with advance notice.
- Competitive salary;
- Bilingualism premium, if applicable;
- Group insurance plan including health and dental coverage, with employer-matched RRSP contributions;
- Reimbursed training and opportunities for professional development;
- Possibility of career advancement and professional growth;
- Work-life balance support;
- Employee wellness program, including an excellent employee assistance program;
- Employee engagement program focused on health, nutrition, and fun.
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Claims Examiner
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Windsor, Ontario, Canada Global Excel Management Inc Full timeJob Title: Claims Assessor (Non-Medical)About the Role:We are seeking a highly skilled Claims Assessor to join our team at Global Excel Management Inc. As a Claims Assessor, you will play a critical role in evaluating and enforcing claim benefits and limitations based on a comprehensive understanding of the applicable policy wording.Key...
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Claims Examiner
1 month ago
Windsor, Ontario, Canada Global Excel Management Inc Full timeJob Title: Claims Assessor (Non-Medical)About the Role:We are seeking a highly skilled Claims Assessor to join our team at Global Excel Management Inc. As a Claims Assessor, you will play a critical role in evaluating and enforcing claim benefits and limitations based on a comprehensive understanding of the applicable policy wording.Key...
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Windsor, Ontario, Canada Global Excel Management Inc Full timeJob Title: Claims Assessor (Non-Medical)About the Role:We are seeking a highly skilled Claims Assessor to join our team at Global Excel Management Inc. As a Claims Assessor, you will play a critical role in evaluating and enforcing claim benefits and limitations based on a comprehensive understanding of the applicable policy wording.Key...
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Claims Examiner
1 month ago
Windsor, Ontario, Canada Global Excel Management Inc Full timeJob Title: Claims Assessor (Non-Medical)About the Role:We are seeking a highly skilled Claims Assessor to join our team at Global Excel Management Inc. As a Claims Assessor, you will play a critical role in evaluating and enforcing claim benefits and limitations based on a comprehensive understanding of the applicable policy wording.Key...
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