Claims Examiner Canada The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product lineby performing all functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence to internal/external customers. In the Role
Evaluate claims against eligibility requirements, provisions and applicable processes. Enter data into appropriate processing systems, including correspondence with internal and external customers. Research additional information to support claim processing. Perform benefit calculations. Conduct claim investigation. Occasional special projects. Participate in departmental meetings and training activities. Make and receive English and French phone calls. Process incoming and outgoing mail. Other duties as assigned. Requirements
High School or GED Required 1 year of general work experience, 6 months or more claims experience preferred Basic math skills, familiar with PC Setting Sound judgment, verbal and written communication skills Manage positive customer relationships Ability to evaluate claims against eligibility requirements Fluent in speaking and writing French