About the job Claims Examiner (6 month contract)
Cambridge, ON (In office)

6-month contract

Review, examine, calculate and make decisions on a variety of claims in accordance with applicable policy and service standards. Required to attain performance objectives on a monthly basis.

Reviewing, examining, calculating, and making decisions on a variety of claims received in the claims processing unit, to ensure the claim is paid under the respective policy and within the contracted timeframes.

Conducting research via policies/flipcharts that can provide additional information needed to adjudicate claims.

Entering notes into the computer system/databases as required.

Facilitating stop payment requests and processing reissues accordingly.





Placing outbound calls to customers or providers to obtain information required to adjudicate a claim.

Creating and sending various types of professional correspondence.

Responding to inter‑departmental inquiries.

Responding to escalations in a timely manner.

Qualifications:

Post‑secondary education

Minimum of 6‑12 months experience as a Claims Examiner or similar role.

Ability to pay close attention to detail and multi‑task.

Possess sound judgment and good decision‑making skills.

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📌 Claims Examiner (6 month contract) (Ontario)
🏢 Source Code
📍 Ontario