-
Claims Examiner
1 week ago
OneMain Financial London, Canada**Claims Examiner** · The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence to ...
-
Claims Examiner
1 day ago
Canada Life Assurance Company London, CanadaClaims Examiner · **Description: · - Permanent Full Time- We are a looking for a **Claims Examiner**.- Reporting to the Associate Manager of Individual Life Claims, you will be responsible for timely and accurate claims processing for London Life.**Accountabilities**: · - process ...
-
Claims Coordinator Wealth
1 week ago
Canada Life Assurance Company London, Canada**Job Description**: · As an important part of the Individual Customer Wealth Claims Team, you will be primarily responsible for timely clerical and administrative support for the Wealth Claims Department. This role reports to Nicole Calleja, Associate Manager, Wealth, and Life C ...
-
Definity London, CanadaJob ID : 6506 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : London, Canada · Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance ...
-
Definity Financial Corporation London, CanadaJob ID : 6825 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : London, Canada · Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance ...
-
Claims Coordinator Indlife
4 days ago
Canada Life Assurance Company London, CanadaClaims Coordinator IndLife · **Description: · - Permanent Full Time- As an important part of the CanOps Individual Claims Team, you will be primarily responsible for timely clerical and administrative support for the Life Claims Department.- Accountabilities: · - Review and set-u ...
-
National Casualty Claims Consultant
3 days ago
Intact London, CanadaOur employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. · Feel empowered to learn and g ...
-
Claims Representative
4 days ago
Intact London, CanadaOur employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. · Feel empowered to learn and g ...
-
Expert en Sinistres I, Risques Divers
4 days ago
Intact London, CanadaNos employés sont au cœur de ce que nous faisons de mieux : aider les gens, les entreprises et la société à aller de l'avant dans les bons moments et à être résilients dans les moments difficiles. En vous joignant à notre équipe, vous contribuerez à ces efforts aux côtés de gens ...
-
Risk Management Consultant
2 days ago
London Health Sciences Centre London, Canada**Posting Period**: · Open: February 23, 2024 · Deadline: February 29, 2024 · Non-Union · **Department Name**: · **Risk Management** · The Risk Management Consultant provides expertise to the organization to consult on systems of loss control in healthcare; promoting patient, sta ...
-
Temporary - Dental Receptionist
1 week ago
Victoria Hospital London, Canada**Posting Period**: · Open: September 1, 2023 · Deadline: September 14, 2023 · COPE · This position is covered by a collective agreement. · **Department Name**: · VH/UH Dentistry Clinic · Reporting to the Manager, the Dental Receptionist provides support to the outpatient dental ...
-
Abilities Management Specialist
3 days ago
London Police Service London, Canada**Position**: Abilities Management Specialist · **Status**: Temporary, Full Time (12-Month Contract) · **Salary**: $94,045 (Starting) to $98,049 (6 Months) · **Hybrid Remote Options ** · - The LPS is currently operating under a Pilot Remote Work Procedure. This position may be el ...
-
Dental Receptionist
3 days ago
London Health Sciences Centre London, Canada**Posting Period**: · Open: March · Deadline: April 3 2024 · Non-Union · **Department Name**: · Surgical Services · Reporting to the Coordinator, Ambulatory Surgical Care, the Dental Receptionist provides support to the outpatient dental clinics: scheduling appointments, process ...
-
Dental Receptionist
1 week ago
London Health Sciences Centre London, Canada**Posting Period**: · Open: Februrary · Deadline: Februrary · Non-Union · **Department Name**: · Surgical Services · Reporting to the Coordinator, Ambulatory Surgical Care, the Dental Receptionist provides support to the outpatient dental clinics: scheduling appointments, proce ...
-
Corporate Risk Consultant
4 days ago
London Health Sciences Centre London, Canada**Posting Period**: · Open: January 25, 2023 · Deadline: January 31, 2023 · Non-Union · **Department Name**: · Risk and Privacy · Reporting to Manager, Risk and Privacy, the Corporate Risk Consultant provides risk management expertise across all sites to all programs of the organ ...
-
Finance Clerk
3 days ago
London Health Sciences Centre London, Canada**Posting Period**: · Open: May 16, 2024 · Deadline: May 22, 2024 · Non · - Union · **Department Name**: · Corporate Finance · The Finance Clerk is responsible for accurate and timely processing of patient, sundry, Ministry of Health (MOH) diagnostic, WSIB and interprovincial rec ...
-
Finance Clerk
1 week ago
London Health Sciences Centre London, Canada**Posting Period**: · Open: February 13, 2024 · Deadline: February 19, 2024 · Non · - Union · **Department Name**: · Corporate Finance · The Finance Clerk is responsible for accurate and timely processing of patient, sundry, Ministry of Health (MOH) diagnostic, WSIB and interprov ...
-
Administrative Assistant, Medical
5 days ago
Shahzia Khan Medicine Professional Corporation London, CanadaWork Term: Permanent · - Work Language: English · - Hours: 40 hours per week · - Education: College, CEGEP or other non-university certificate or diploma from a program of 1 year to 2 years · - Experience: 1 year to less than 2 years · - or equivalent experience · **Asset languag ...
-
Administrative Assistant, Medical
1 week ago
Dr. Ambreen Rind Medicine Professional Corporation London, CanadaWork Term: Permanent · - Work Language: English · - Hours: 40 hours per week · - Education: College, CEGEP or other non-university certificate or diploma from a program of 1 year to 2 years · - Experience: 1 year to less than 2 years · - or equivalent experience · **Asset languag ...
-
Medical Administrative Assistant
2 days ago
MedService Family Health Clinic London, Canada**Job requirements** · **Languages** · English · **Education** · College, CEGEP or other non-university certificate or diploma from a program of 1 year to 2 years · or equivalent experience · **Experience** · 1 year to less than 2 years · **Asset languages** · Panjabi, Punjabi, H ...
Claims Examiner - London, Canada - TEKsystems
Description
Description:
As a Claims Examiner your main responsibility will be make decision on medical claims for the companies clients: government workers who are stationed outside of Canada. Claims have already been entered through an automatic process or through the claims admin team and you must asses the claim and verify accuracy, authenticity, verify allocation of benefits, then make a decision (adjudicate) based on limits from the specific provider. This is a highly independent role, with some authority limits, but you must be comfortable making decisions on your own. Volume = 50-70 invoices daily which translates to 20 claims a day. You may take on some communication pieces if it relates to claim.
Types of clients:
1) Clients travelling outside of Canada, but are Canadian residents.
2) Federal employees but are deployed outside of Country.
Skills:
travel insurance claims, medical insurance claims, Snowbird insurance, Expatriate Insurance, TPA, Medical invoies, GHIP
Top Skills Details:
travel insurance claims,medical insurance claims
Additional Skills & Qualifications:
Responsibilities
• Process travel insurance claims for medical, trip cancellation/interruption, baggage, dental and vision claims up to the designated limit
• Adjudicate claims according to various benefit policies
• Handle both inbound and outbound calls, complaints, provide excellent customer service for claims matters both in person and via written correspondence
• Work closely with claimants, providers, agents, brokers, other insurance carriers or their representatives
• Work closely with other departments within the company on a day-to-day basis
• Maintain accurate documentation on all claim files
• Adjust reserves in accordance with the insurer's guidelines
• Present cases and participate in discussions during file reviews and appeals
• Ensure all work complies with the PIPEDA and HIPAA
• Support department initiatives and objectives
• Provide guidance and mentorship to peers
• Other related duties as assigned
Qualifications and Education Requirements
• High school diploma or University Degree or equivalent
• Minimum 2-3 years of relevant travel insurance or medical insurance claims processing experience
• Bilingual: English/French is required
• Strong analytical and problem-solving skills
• High level of proficiency in Microsoft Office suites
• Superior verbal and written communication skills in English and/or French
• Strong time management and organizational
Preferred Skills
• Snowbird, expatriate insurance, TPA experience
• Experience in handling Canadian and US medical invoices/claims
• Dispute resolutions experience
• GHIP recovery/coordination of benefits/subrogation
• Very strong Team Player
Experience Level:
Intermediate Level
À propos de TEKsystems:
Nous sommes partenaires dans la transformation. Nous aidons les clients à activer des idées et des solutions afin de profiter d'un nouveau monde d'opportunités. Nous sommes une équipe solide de personnes, nous travaillons avec plus de 6 000 clients, dont 80 % faisant partie du Fortune 500, partout en Amérique du Nord, en Europe et en Asie. En tant que chefs de file de l'industrie des services technologiques complets, des services aux talents et des applications du monde réel, nous travaillons avec des leaders progressistes pour favoriser le changement. C'est le pouvoir d'un vrai partenariat. TEKsystems est une société du groupe Allegis.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
