Claims Assistant

2 days ago

Mississauga, Canada Royal Bank of Canada Full time

**Job Summary**

**What is the opportunity?**

The Medical Request Team (MRT) is responsible is responsible for requesting and following-up on medical documentation on behalf of the Claims Specialists. The MRT plays a key role in the claims process by allowing the Claim Specialist to focus on the adjudication process and not administrative tasks such as obtaining medical documentation. The MRT is also responsible to paying invoices related to medical documentation provided. Both medical requests and invoice payments come in as tasks in high volumes that have tight turnaround times that need to be adhered to.

**What will you do?**
- Send medical requests and follow-up on medical requests within the given service level agreement on behalf of the Claims Specialists
- Effectively balance both new requests and follow-ups to ensure the team’s task queue is manageable and work is distributed fairly across all team members
- Process invoice payments
- Update claims systems with accurate and applicable information error free
- Implement and effectively manage change
- Participate in projects and initiatives within Life & Health Claims

**What will you need to succeed?**

Must have
- 1 to 2 years of customer service experience
- Proficient on claims systems for lines of businesses being supported
- Proven problem-solving skills, including the ability to identify additional sources to uncover vital information not otherwise available
- Proficient in MS Office - Word, Excel, PowerPoint
- Prioritize and perform effectively under tight deadlines
- Proven ability to multi-task and balance goals and priorities

Nice to have
- Business Administration Degree Insurance designation(s)
- Bilingual in French is considered an asset

**Special Conditions**

Please note this is a 12 month contract position.

**What's in it for you?**
- A Total Rewards program that includes flexible benefits, work/life balance and career development programs and investment and retirement savings plans
- Competitive pay and high-earning potential
- All the tools, training, and team support you need to grow your career
- Flexible work/life balance options
- Sophisticated RBCI software tools to boost your productivity

**Job Skills**

Communication, Coverage Analysis, Critical Thinking, Customer Service, Decision Making, Insurance Claims Investigations, Knowledge of Claims, Long Term Planning, Settlement Negotiations

**Additional Job Details**

**Address**:
MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR:MISSISSAUGA

**City**:
MISSISSAUGA

**Country**:
Canada

**Work hours/week**:
37.5

**Employment Type**:
Full time

**Platform**:
INSURANCE

**Job Type**:
Contract (Fixed Term)

**Pay Type**:
Salaried

**Posted Date**:
2024-10-15

**Application Deadline**:
2024-10-23

**I**nclusion** and Equal Opportunity Employment**

At RBC, we embrace diversity and inclusion for innovation and growth. We are committed to building inclusive teams and an equitable workplace for our employees to bring their true selves to work. We are taking actions to tackle issues of inequity and systemic bias to support our diverse talent, clients and communities.

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