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Job Title: Claims Assistant
Date Posted:
02/11/19 Ref. Number: 582
Full Time Part Time
Location: Markham
Requirements:       • Excellent customer service attitude with an ability to demonstrate this while taking calls • Solid teaming skills to work collaboratively in a positive, energetic and outgoing manner • Comfortable adapting to new situations with the ability to perform well, negotiate and problem solve in dynamic situations • A strong attention to detail with the ability to multi-task • Ability to maintain high-level of confidentiality of clients’ information • Tech-savvy with the ability to learn new computer systems and work with industry related software programs • Experience using Microsoft Office (Word/Excel/Outlook), Adobe Reader, Internet Search Engines (Google Chrome, Mozilla, IE) • Excellent verbal & telephony skills with the ability to maintain a calm and professional demeanor • Excellent written communication skills with the ability to compose professional correspondence • Case Management, Medical, Nursing and/or Pharmaceutical knowledge an asset • Ability to communicate in a second language is an asset
Description: Provide and maintain a high standard of customer service to client organizations, Insured’s, their families and guardians on how to proceed with claims or provide referrals when necessary • Answer multi-line phone and respond to emails; regarding policy coverage or claims and provide information as requested • Maintain accurate data entry; organize and work with detailed records to access, search and retrieve data • Maintain proper files for claims by collecting and organizing all relevant documents and set up new claims using the company software system • Prepare and review insurance-claim forms and related documents for completeness • Transmit claims for payment or further investigation • Contact insured or other involved persons to obtain missing information • Contribute to and maintain document management activities (filing & storing of documents, inventory or research activities) • Liaise with other departments to solve queries as necessary • Prepare correspondence (faxes, letters, email, etc.) to insureds, providers or clinics • Keep up to date with insurance product knowledge as well as appraisal and investigation techniques and services • Prepare reports as required
Hours per week: Monday to Friday 37.5
Rate of Pay: 35K
Contact: Susan Vanderwouw
905-476-8088 Fax: 905-476-5988

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