Claims Examiner

Claims Examiner/Adjuster

Kitchener ON (Onsite)

6month contract

Review examine calculate and make decisions on a variety of claims in accordance with applicable policy and service standards. Required to attain performance objectives on a monthly basis.

• Reviewing examining calculating and making decisions on a variety of claims received in the claims processing unit to ensure the claim is paid under the respective policy and within the contracted timeframes.
• Conducting research via policies/flipcharts that can provide additional information needed to adjudicate claims.
• Entering notes into the computer system/databases as required.
• Facilitating stop payment requests and processing reissues accordingly.
• Placing outbound calls to customers or providers to obtain information required to adjudicate a claim.
• Creating and sending various types of professional correspondence.
• Responding to interdepartmental inquiries.
• Responding to escalations in a timely manner.

Qualifications:

• Postsecondary education
• Minimum of 612 months experience as a Claims Examiner or similar role.
• Ability to pay close attention to detail and multitask.
• Possess sound judgment and good decisionmaking skills.
• Fluency in French is preferred.

What we offer you:

• The opportunity to build a longterm and successful career for yourself in the insurance industry
• A competitive salary which includes a number of specialty premiums reflecting the work you do
• A Referral Program that rewards you for referring your qualified friends and family
• Employee discounts at a wide variety of retailers and services
• The opportunity to grow with a large global organization

Remote Work :

No