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Administrative Clerk
2 weeks ago
**NexgenRx** is a publicly traded company, established in 2003, to answer the increasing demand for an alternative to life insurance companies, the traditional providers of drug, dental and extended health care benefits. The NexgenRx solution enables plan sponsors to better control costs and improve health outcomes for employees and their families by using leading edge communications and processing technology. NexgenRxprovides flexible, accessible full benefit administration and we are growing The Company is currently looking for an Administrative Clerk & Junior Claims Examiner to join the team. This is an **entry level position** for someone interested in an opportunity in group health claims adjudication.
- **Job Overview**:_
In this full-time role, there are two key responsibilities: 1) Overseeing mailroom operations and 2) the adjudication of basic group health claims. This is an entry level position.
- **Key Responsibilities**_
Provide timely and accurate mailroom support as follows:
- Open all mail received via omni channels, sort and prepare for distribution.
- Log claims received, sorted by type of claim (EHC, Dental, Predeterminations) and distribute between the Claims Adjudicators.
- Complete required Indexing of uploaded mailed claims.
- Prepare mailing of cheques, Explanation of Benefits (EOB’s) and Pre-Determinations. This includes mailing cheques, and preparing them for mailing.
- Print Letters and Drug Cards per client requests.
- Order supplies: Responsible for ensuring that there is an adequate supply of envelopes, letterhead, paper, etc.
- Adjudicate basic mobile and web-based claims.
- **Qualifications**_
- **Must have good verbal and written communication in English; French would be an asset.**:
- Minimum College diploma preferred
- Previously clerical experience
- Must be detail oriented, analytical and an excellent team player who demonstrates self-leadership and initiative.
- Dependable, productive and able to provide references that verify these qualities.
- Good facility with systems, computers.
- A professional approach to customer service.
- Good interpersonal skills, ability to work well in a team.
- Quick learner.
- Other required skills include: organization, ability to problem solve, multi-task issues, and good keyboarding skills.
- A self-leader with demonstrated initiative and eager to learn and grow in the role.
**Why NexgenRx?**
- Dynamic team within a growing organization
- Flexible hybrid work opportunity; remotely from home office and 2-3 days/week in office (Etobicoke)
- Comprehensive group benefits plan
- Opportunities for professional development.
While we appreciate all submissions, only those invited for an interview will be contacted.
**Job Types**: Full-time, Permanent
**Experience**:
- Administrative: 1 year (required)
**Language**:
- English (required)
Work Location: Hybrid remote in Toronto, ON M9C 5K8