You are an experienced administrative professional who can multitask and meet tight deadlines. You thrive in a fast-paced, team environment and will provide excellent customer service via email, fax, and phone. You will have the desire to develop an in-depth understanding of this position and be able to easily maneuver through numerous policies to assess claims and inquiries accurately. You are a powerful team player.

The Claims Administrator will be responsible for providing administrative support on claims. This role involves handling inbound and outbound phone calls, as well as answering a variety of emails from providers and plan members.

The Claims

Administrator assists the claims processors in adjudicating claims when necessary. This role requires solid time management skills, claims experience, and policy interpretation.

In this role, you’ll get to experience:

Provide excellent customer service for claims matters both in person and via written correspondence

Handle both inbound and outbound calls to members and health providers as required

Work closely with the Claims team and other teams as required on a day-to-day basis

Ensure all work complies with the PIPEDA and HIPAA

Answering emails and responding accurately to claims inquiries ensuring customer satisfaction

Accurately document all communication with members and providers in magenta

Triaging all incoming claims mail and validating coverage

Entering all claims in magenta upon receipt of the mail





Generating payments on approved/denied claims; sending payments to the Accounting department and emailing/mailing denials to members/providers

Filing claims and purging files when required

Processing and packaging Morcare claims for iA

Reviewing /closing pending claims

What you bring

High school diploma or equivalent

Experience in the travel insurance industry is required

Minimum 2-3 years of previous administration experience

High level of proficiency in MS Office Suite, specifically Word and Excel

Superior verbal and written communication skills

Strong time management and organizational skills

Solid analytical and problem-solving skills

What do you need to succeed?

Experience in processing health, dental, and vision claims or working in a support role for a claims team

Experience with medical coding standards

GHIP recovery/coordination of benefits/subrogation

Experience in handling US medical invoices/claims

What’s in it for you:

Hybrid work environment

Employee assistance program

Wellness account

RRSP matching

Generous amount of sick and flex days

Opportunities to learn current skills, grow, and move into different roles A work environment that embraces diversity and promotes inclusivity.

Supportive leadership prioritizes your success and cares about your well-being.

A growth trajectory designed to expand vertically and horizontally, providing opportunities to pursue your passions and acquire new skills.

📌 Bilingual Claims Administrator (Winnipeg)
🏢 MSH Americas - DIOT-SIACI Group
📍 Winnipeg