Apply medical expertise to insurance claims as a Senior Medical Claims Examiner working fully remotely from Monday through Friday. Analyze details, solve problems, and support accurate decisions throughout the claims process.
This full-time role suits a senior professional with healthcare, nursing, or assistance-industry experience. You will assess claim consistency, review validity, communicate with stakeholders, and maintain precise records. Strong English and French communication, claims software knowledge, and independent prioritization are important to the position.
Key Responsibilities: Apply medical knowledge to assess claim consistency
Review claims for validity and accuracy
Communicate consistently with internal teams and clients
Gather information from providers, clients, and stakeholders
Maintain accurate claims, action, and communication records
Requirements: Five or more years in assistance industry claims processing
Healthcare or nursing background
Robust English and French communication skills
Proficiency with Microsoft Office and claims software
Ability to manage competing priorities independently
Use medical knowledge, bilingual communication, and claims expertise to assess insurance files accurately in this fully remote position.