Health Claims Assessor
Temps plein
National Healthcare Solutions, Inc.
Epic Health Solutions boasts over 35 years of experience in the healthcare industry providing innovative solutions in an ever-evolving marketplace. We are seeking a detail-oriented Claims Examiner to join our team at Epic Health this role you will be responsible for accurately entering and managing data within our systems contributing to the efficiency and effectiveness of our healthcare solutions. This position is essential for maintaining the integrity of our databases and supporting our operational goals.
Review and evaluate Travel Insurance claims supporting documents and medical records
Adjudicate claims in accordance with policy wording internal guidelines and regulatory requirements
Communicate claim decisions clearly and professionally to insured clients and service providers
Prepare detailed claim notes correspondence and denial letters as required
Maintain accurate reserves and ensure timely updates to the claims management system
Participate in quality reviews training and continuous improvement initiatives
2-3 years of experience in Insurance claims (Travel Health or related field)
- Bilingual: Fluent in English and French (spoken and written)
- Strong understanding of travel insurance policies and benefits (an asset)
- Proficiency with MS Office
Claims Adjudication
Customer Service Excellence
Job Type: Full-time
Dental care
Employee assistance program
Life insurance
On-site parking
8 hour shift
- Day shift
- Monday to Friday
Language requirements: French & English
We are in compliance with the Accessibility for Ontarians with Disabilities Act (AODA) and are dedicated to ensuring equal opportunities for all applicants.
L'offre d'emploi a été publiée il y a 3 jours
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