Claims Examiner

The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by 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

Must be fluent in speaking and writing FrenchHigh School or GED Required1+ year of general work experience, 6 months or more claims experience preferredBasic math skills, familiar with PC EnvironmentSound judgment, verbal and written communication skillsManage positive customer relationshipsAbility to evaluate claims against eligibility requirements

Location: London ON-Wellington

Target base salary range is CAD $24 – 30/hour, which is based on various factors including skills and work experience.