Claims Examiner, Prior Authorization - Winnipeg, Manitoba

Only for registered members Winnipeg, Manitoba, Canada

1 month ago

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Job summary

This position is suited to an individual who works well both independently and as part of a team, in an environment that is constantly changing. The incumbent reviews medical information based on guidelines in place, and in consultation with the Medical Board must determine if coverage can be approved or declined.

Responsibilities

  • Review medical information submitted by the patient's physician to determine if all the necessary information has been received in order to complete the assessment.
  • Determine, based on the group plan parameters, if coverage is eligible under the group plan.

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