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You have experience working with claims and an understanding of policy coverage and wording. You enjoy reviewing files and making recommendations. Your attention to detail, analytical and organizational skills are second to none. You are passionate about providing exceptional customer service and committed to making a difference in everything you do. You thrive in a fast paced, ever-changing environment.

If this is you and you want to make a difference in a company that values contribution, then we want to hear from you.

The successful candidate will be responsible for processing claim files according to Company policies and procedures. This involves reviewing claims for completeness and compliance with policy coverage, and recommending payment or denial. If the claim is not complete, the Claims Examiner requests additional information and follows-up regularly. Processes approved payments for clients and providers, and requests repayment from other insurers. Advises clients and providers of denials as appropriate. Tracks payments made or received and closes file. Assists “walk-in” clients to complete forms and answers questions. Once fully trained, work schedule will include some non-business hour shifts (weekend and evening shifts).

• 1 to 2 years of post-secondary education in a business-related field of study.
• Ability to learn and apply knowledge of policy wordings to accurately process claim files.
• Excellent written and verbal English skills.
• French written and verbal fluency is required.
• Strong computer skills.
• Excellent communication skills, particularly using the phone.
• Previous experience assessing claims an asset.
• Experience in customer service role an asset.
• Level 2 Insurance Adjuster's license or Level 2 General Insurance License preferred.
• Strong interpersonal, and conflict resolution skills.
• Well organized, detail oriented.
• Knowledge of medical terminology an asset.

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