Claims Examiner, Randstad

Claims Examiner

Randstad

Location:

Canada, Winnipeg

Category:

Customer Service

Contract Type:

Employment contract, Contract work

Salary:

17.88 USD / Hour

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Job Description:

Join us as a Claims Examiner, where you’ll play a key role in delivering fair and timely solutions to our clients. This role offers an exceptional opportunity to advance your career while contributing to a supportive and dynamic team.

Job Responsibility:

Review claims documents and contracts to verify eligibility
Contact Plan Sponsors and Members within 24 hours of receiving claim information to clarify discrepancies or gather missing details
Communicate effectively via phone or email to ensure accurate information is collected
Process quick-pay claims, transferring more complex cases to Disability Case Managers
Prepare and issue declination letters as necessary
Maintain accurate documentation and organize files efficiently

Requirements:

Minimum of 1 year of experience in a customer service role
Excellent oral and written communication skills in both French and English would be considered an asset
Ability to understand complex instructions and basic contractual language
Familiarity with medical terminology is an advantage
Proficient in Microsoft Office, with strong typing and data entry skills
Exceptional and effective organizational and time management skills with the ability to manage multiple priorities
Demonstrates excellence in phone etiquette and client service
Working experience within disability insurance is an asset

Nice to have:

Familiarity with medical terminology
Excellent oral and written communication skills in both French and English

What we offer:

Full-time hours with a hybrid work schedule
Work-life balance with no weekend shifts
Career growth opportunities with the potential for permanency
A chance to work in a collaborative and supportive team environment

Additional Information:

Job Posted:

April 03, 2025

Expiration:

April 21, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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