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Insurance Claims Specialist

2 months 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.
  • Customer Service: Provide top-notch customer service in processing claims, handling inquiries, and resolving complaints.
  • Communication: Communicate decisions to stakeholders, including claimants, providers, agents, brokers, and other departments.
  • Documentation: Maintain detailed claim documentation, including records of interactions and decisions.
  • Compliance: Ensure compliance with regulations, policies, and procedures.
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.
  • Certification: 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 more.
  • Professional Development: Opportunities for growth and skills development, tuition reimbursement, and career advancement.