Claims Examiner - Toronto, Canada - MSH International (Canada) Ltd.

MSH International (Canada) Ltd.

Verified Company

Toronto, Canada

3 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

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It's fun to work in a company where passion meets profession, and every team member is not just an employee but a dedicated enthusiast, making the work journey truly enjoyable and fulfilling_

About Us:

We are seeking ambitious individuals who share our values and our passion for making a positive impact on people's lives around the world.

If you are looking for a career that challenges and inspires you, you've come to the right place.

About You
The Claims Examiner will be responsible for processing a variety of different claims and communicating

these decisions to providers and clients. This role requires strong time management skills,

claims experience, and strong Excel skills.

In this role, you'll get to experience:

Process EU and UK health, dental, and pharmacy claims
Adjudicate claims based on approved Letter of Guarantee periods for the client
Provide excellent customer service for claims matters both verbal and written

correspondence

Handle both inbound and outbound calls to EU/UK health providers as required
Ensure all work complies with the PIPEDA and GDPR
Reconciliation of claims with Healthcare providers
Data Entry is required to key in scanned claims/invoices into the V9 system
Maintain concise file documentation consistent with corporate policies
Provide overall portfolio management of assigned claims files
Provide guidance and mentorship to peers

- courier/mail management

Other related duties as assigned

What you bring:

High school diploma or equivalent

Required Skills:

Experience in the EU/UK health insurance industry is required
Minimum 23 years of claims processing experience
Experience in processing health, dental, and pharmacy claims
High level of proficiency in Microsoft Office suites, specifically Excel
Superior verbal and written communication skills
Strong time management and organizational skills
Strong analytical and problemsolving skills

What do you need to succeed?

Cost containment/provider relations experience
Proficiency in Arabic, German, and French language is a plus.
Experience with medical coding standards
Dispute resolutions experience

Additional Notes

The hours for this position are 9 am5pm EST from Monday through Friday. Occasional overtime on evenings and weekends is required.

What's in it for you:

Hybrid work environment
Excellent health benefits
Employee assistance program
Wellness account
RRSP matching
Minimum 3 weeks' vacation
Generous amount of sick and flex days
Tuition reimbursement program
Opportunities to learn new skills, grow, and move into different roles
A work environment that embraces diversity and promotes inclusivity.
Supportive leadership prioritizes your success and cares about your wellbeing.
A growth trajectory designed to expand vertically and horizontally, providing opportunities to pursue your passions and acquire new skills.

Benefits: