Claims Analyst - Hybrid
- Ottawa, ON
- Permanent
- Temps-plein
- Assess and process claims in accordance with company’s service standards, procedures, and insurance policy guidelines
- Obtain additional information needed to assess a claim - either through the provider or the subscriber;
- Assist in identification and actualization of cost containment opportunities
- Handle claim enquiries ranging from basic to complex in nature
- Seek advice from designated team members on complicated cases or claims above authority limit
- Identify and investigate claims for possible abuse and fraud
- Utilizes all applicable system functions available ensuring accurate and timely claim processing service
- Escalate unresolved claims complaints and high costs claims to the supervisor for guidance
- Continually work to improve best practices procedures and standards
- Post-secondary diploma in a related field or equivalent training
- Minimum 1-2 years of experience in claims management or equivalent training, medical knowledge and experience, is an asset
- Strong attention to detail, organizational, time management and prioritization skills
- Demonstrate good judgement, reliability, and professionalism in fast paced environment
- Strong initiative, planning, and problem-solving skills, including an ability to focus on both details and results
- Excellent customer service skills and professionalism
- Comfortable working independently with minimal supervision
- Excellent written and verbal communication skills
- Bilingual, written and oral (English and French), is considered an asset
- Competitive salary
- Participate in our comprehensive benefits plan on day one — no waiting period
- Company-matched Retirement Savings Plan
- Company-paid training and development courses
- Community involvement
- Hybrid work environment