Reporting to the Manager, Claims Adjudication, the Claims Adjudicator is responsible for processing paper, photo eClaims and pre-determinations for members and providers within corporately established turnaround times and accuracy rates.
Principal Responsibilities:
- Process paper, photo, auditable eClaims and pre-determinations for members and providers daily
- Maintain an acceptable daily claims count to ensure turnaround times are met
- Ensure all policies and procedures are followed to ensure accuracy rates are met
- Perform other duties as assigned to support ClaimSecure
Knowledge, skills and experience:
- Grade 12 diploma
- Two years’ experience in data entry
- Excellent verbal and written communication skills
- Proven data entry skills
- Attention to detail
Pay: From $37,732.50 per year
Benefits
- Dental care
- Disability insurance
- Employee assistance program
- Extended health care
- Adaptable schedule
- Life insurance
- Paid time off
- RRSP match
- Vision care
- Wellness program
- Work from home
Experience:
- Data entry: 1 year (preferred)
Work Location: Hybrid remote in Greater Sudbury, ON P3E 5R2