16 Sep
|
MSH Americas - DIOT-SIACI Group
|
Ontario
16 Sep
MSH Americas - DIOT-SIACI Group
Ontario
At MSH, passion meets profession. We’re a team of dedicated enthusiasts who find genuine fulfillment in what we do — and we’re looking for someone who feels the same way.
About You
You are an experienced Claims Examiner who can handle a large case load, multi-task, and meet tight deadlines. You thrive in a fast-paced environment providing excellent customer service in both the claim turnaround and handling emails and incoming calls. 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 strong team player.
You will be responsible for processing a variety of different claims and communicating these decisions to providers, members, and clients. You have strong time management skills, claims experience, and policy interpretation.
In This Role, You’ll Get To Experience
Process travel insurance claims for medical, trip cancellation/interruption, baggage, dental, and vision claims up to the designated limit.
Adjudicate claims according to various benefit policies
Handle both inbound and outbound calls, and complaints, and provide excellent customer service for claims matters both in person and via written correspondence
Work closely with claimants, providers, agents, brokers, other insurance carriers, or their representatives
Work closely with other departments within the company on a day-to-day basis
Maintain accurate documentation on all claim files
Adjust reserves following the insurer’s guidelines
Present cases and participate in discussions during file reviews and appeals
Ensure all work complies with the PIPEDA and HIPAA
Support department initiatives and objectives
Provide guidance and mentorship to peers
Other related duties as assigned
What You Bring
High school diploma or University Degree or equivalent
Minimum 2-3 years of relevant travel insurance or medical insurance claims processing experience
Bilingual: English/French is required
Strong analytical and problem-solving skills
High level of proficiency in Microsoft Office suites
Superior verbal and written communication skills in English and/or French
Strong time management and organizational skills
Must successfully apply for Alberta Adjuster License within one month of hire
What do you need to succeed?
Experience in handling Canadian and US medical invoices/claims
Dispute resolutions experience
GHIP recovery/coordination of benefits/subrogation
Solid Team Player
What's In It for You
Salary Range: 48-52k CAD annually + Variable Bonus (Final compensation will reflect the candidate's experience, skills, and qualifications)
Flexible hybrid work setup
Employee assistance program
Wellness spending account
RRSP matching
Minimum 3 weeks vacation (plus generous sick and flex days)
Real opportunities for growth and skill development
Inclusive, diverse workplace culture
Leadership that genuinely cares about your success and well-being
Clear paths for both vertical and horizontal growth opportunities
MSH is an equal opportunity employer committed to fostering an inclusive, barrier-free recruitment process. We welcome applications from all qualified individuals regardless of race, ancestry, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity or expression, age, record of offences, marital status, family status, or disability.
If you require accommodation at any stage of the recruitment process, please reach out. We will work with you in accordance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act (AODA).
We thank all applicants for their interest. Only those selected for an interview will be contacted.
In accordance with Ontario's Working for Workers Four Act, 2024, MSH confirms that artificial intelligence tools may be used in the recruitment and selection process for this position
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📌 Claims Examiner (Ontario)
🏢 MSH Americas - DIOT-SIACI Group
📍 Ontario