Claims Adjudicator I

3 weeks ago

Canada Robertson & Company Ltd. Full time

Job Summary:

The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for completeness, enters and assesses claims, and produces the final statement and/or payment responsibility, after the member's insurance benefits are applied to a claim. The Adjudicator will be required to contact various practitioners or service providers to obtain clarification on claim information as necessary.



Individual Accountabilities:

Claims Adjudication 80%:

• Assesses highly complex health/dental claims in keeping with contract provisions, taking initiative and ensuring that empowered decision making is a key component of the process.

• Assume ownership of the claims assigned with an understanding of the urgency of specific cases and effectively prioritize work accordingly.

• Establish and maintain quality customer service within our turnaround times using influence with internal and external clients to meet all pre-established service standards in order to delight our customers..

Job Requirements:

• Post-secondary education or equivalent experience

• Strong customer service focus and the ability to take the initiative

• Previous claims adjudication and/or relevant insurance or health care industry experience a definite asset

• Strong working knowledge of Microsoft Office 365 suite of programs

• Detail oriented with quick assessment skills

• Excellent interpersonal skills and the ability to interact and work with others at all levels to achieve customer resolution

• Superior communication skills (verbal and written) for a variety of internal and external audiences (Both in English and French as applicable)

• The ability to work effectively as an individual and as part of a team in a fast-paced environment

  • Claims Adjudicator I

    3 weeks ago

    Canada Robertson & Company Ltd. Full time

    Job Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for...

  • Claims Adjudicator I

    3 weeks ago

    Canada Robertson & Company Ltd. Full time

    Job Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for...

  • Claims Adjudicator I

    3 weeks ago

    Canada Robertson & Company Ltd. Full time

    Job Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for...

  • Bilingual Claims Adjudicator I

    3 weeks ago

    Canada Compunnel Inc. Full time €7,000

    Job Summary:The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for...

  • Bilingual Claims Adjudicator I

    3 weeks ago

    Canada, CA Compunnel Inc. Full time

    Job Summary:The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for...

  • Bilingual Claims Adjudicator I

    3 weeks ago

    Canada Compunnel Inc. Full time

    Job Summary:The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for...

  • Bilingual Claims Adjudicator I

    3 weeks ago

    Canada Compunnel Inc. Full time

    Job Summary:The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for...

  • Bilingual Claims Adjudicator I

    3 weeks ago

    Canada Compunnel Inc. Full time €7,000

    Job Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for...

  • Bilingual Claims Adjudicator I

    3 weeks ago

    Canada Compunnel Inc. Full time

    Job Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for...

  • Claims Adjudicator

    3 weeks ago

    Canada Robertson & Company Ltd. Full time

    *** THIS ROLE IS WITH OUR CLIENT IN THE INSURANCE INDUSTRY*** Title : Claims Adjudicator Duration: 6 months(with possibility of extension or conversion) Type : Remote Job Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make...

  • Claims Adjudicator

    3 weeks ago

    Canada Robertson & Company Ltd. Full time

    *** THIS ROLE IS WITH OUR CLIENT IN THE INSURANCE INDUSTRY***Title: Claims AdjudicatorDuration: 6 months(with possibility of extension or conversion)Type: RemoteJob Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number...

  • Claims Adjudicator

    3 weeks ago

    Canada Robertson & Company Ltd. Full time

    *** THIS ROLE IS WITH OUR CLIENT IN THE INSURANCE INDUSTRY***Title: Claims AdjudicatorDuration: 6 months(with possibility of extension or conversion)Type: RemoteJob Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number...

  • Claims Adjudicator

    3 weeks ago

    Canada Robertson & Company Ltd. Full time

    *** THIS ROLE IS WITH OUR CLIENT IN THE INSURANCE INDUSTRY*** Title : Claims Adjudicator Duration: 6 months(with possibility of extension or conversion) Type : Remote Job Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a...

  • Claims Adjudicator

    4 weeks ago

    Canada, CA Compunnel Inc. Full time

    Job Summary( Primary purpose of this Role):The Claims Adjudicator is accountable for handling claims in accordance with high service standardsto meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount of benefits that are payable. The...

  • Claims Adjudicator

    4 weeks ago

    Canada, CA Robertson & Company Ltd. Full time

    *** THIS ROLE IS WITH OUR CLIENT IN THE INSURANCE INDUSTRY***Title: Claims AdjudicatorDuration: 6 months(with possibility of extension or conversion)Type: RemoteJob Summary: The Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number...

  • Claims Adjudicator

    3 weeks ago

    Canada Compunnel Inc. Full time

    DetailsRequisition Title: Claims AdjudicatorLocation: Fully RemoteTypical Day in RoleThe Claims Adjudicator is accountable for handling claims in accordance with high service standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that may affect the member's entitlement to benefits and/or the amount...

  • Claims Adjudicator

    3 weeks ago

    Canada Compunnel Inc. Full time

    We are hiring a Claims Adjudicator for our client in the insurance industry.Job Requirements:• Post-secondary education or equivalent experience• Strong customer service focus and the ability to take the initiative• Previous claims adjudication and/or relevant insurance or health care industry experience a definite asset• Strong working knowledge of...

  • Claims Adjudicator

    3 weeks ago

    Canada Infotek Consulting Services Inc. Full time

    Infotek Consulting is searching for several Group Benefits Claims Adjudicators - this is a REMOTE contract assignment - must work on EST • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate...

  • Claims Adjudicator

    3 weeks ago

    Canada Infotek Consulting Services Inc. Full time

    Infotek Consulting is searching for several Group Benefits Claims Adjudicators - this is a REMOTE contract assignment - must work on EST • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate...

  • Claims Adjudicator

    3 weeks ago

    Canada Infotek Consulting Services Inc. Full time

    Infotek Consulting is searching for several Group Benefits Claims Adjudicators - this is a REMOTE contract assignment - must work on EST • Business group: Group Benefits Canada. The successful candidate will support group benefits for health and dental, catering to policies of all sizes, including corporate and small business. • Project: The candidate...