Claims Assessor

2 days ago

Winnipeg, Canada People Corporation Full time

We are seeking a Claims Assessor to join our Coughlin team in Winnipeg, MB.
inquiries related to claims, benefits payable, and general group plan policies.
**The Claims Assessor will**:

- Processing paperless and traditional claims, which could include Cost-Plus Plans or Health Care Spending Accounts, and using the claims system to properly identify missing information.
- Verifying cheques, letters, forms, addresses, and reports for accuracy and completion.
- Investigating complaints, over and underpayments, and taking corrective action.
- Responding to clients, members, or other external contacts in a prompt, efficient, and courteous manner at all times.
- Preparing correspondence using company standard templates for members, carriers, or clients.
- Providing accurate and timely information/assistance to members and clients concerning

coverage, processing and paying claims, and benefits parameters.

**T**o be successful **as a** Claims Assessor **with Coughlin & Associates, you will need**:

- A good vocabulary of medical and dental 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.
- Excellent grammatical, spelling, and communication skills in both official languages.
- The ability to maintain good public relations, both within and outside the organization.
- The ability to extract and interpret or simplify information from various technical sources.
- Strong mathematical and organizational skills, the ability to prioritize and multi-task, and the

ability to manage time effectively.
- The ability to adhere to existing company policies and procedures.
- The ability to use tact and discretion to maintain information in the strictest of confidence.
- Experience processing electronic claims.

**What's in it for you**:

- 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

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.:
Across the country, thousands of Canadians rely on Coughlin & Associates Ltd. to design and administer their group medical, dental, disability, life insurance and pension benefits. Coughlin is a full-service benefits consultant and third party administrator. Our services include:

- Group benefits consulting and plan marketing
- Plan administration and correspondence
- 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

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