Are you a people person with a knack for providing excellent customer service? Are you interested in working in a multilingual and friendly setting that encourages personal and career development? We would love to meet you!

Responsibilities
Review applicable policy wording and validate claim coverage.
Review all verbal and written communication within the file.
Review bills for rendered services, coding, and reasonable & customary charges.
Review medical information submitted for necessity of further requirements or internal specialist review.
Establish presence of claim requirements as per policy wording (e.g.: proof of payment and authenticity of bills/claims).
Request missing claim components as required for adjudication.
Ensure creation of appropriate follow up workflows.
Provide notice of claim decision and explanation including denials via phone, formal letter, or email.
Confirm and adjust (if required) claim entries.

Qualifications & Skills
A university degree or college diploma preferred, but not required.
Experience in insurance product benefits and limitations an advantage.
Comprehension of healthcare system and billing practices an advantage.
Proficiency in Microsoft Office suite.
Bilingualism (French and English) is mandatory.



Excellent written and verbal communication skills in both languages are required to review claims and client communications, primarily from outside Canada, and to collaborate effectively with teams across multiple locations.
Excellent organizational skills with a strong attention to detail and robust decision‑making skills.
Ability to adapt to on‑going change and work volumes in a fast‑paced, customer‑focused environment.

Benefits
Competitive compensation package that includes a base salary, performance bonus and an extensive benefits package.
Professional future with opportunities for development, growth, and advancement.
RRSP Match program.
Financial assistance to employees who wish to continue their education.
Work/life balance, health and wellness initiatives including an excellent EAP program.
Employee engagement programs that focus on fitness, food, and fun.
Ontario Candidates: Starting at 22.56$/hour (+ Bilingual Premium if applicable)
Québec Candidates: Starting at 22.56$/hour (+ Bilingual Premium if applicable)

To get a taste of the Global Excel life and for more information on our company, visit our Facebook page and website:
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📌 Claims Assessor En Windsor
🏢 Global Excel Management
📍 Windsor