Claims Administrator (Term)
Claims Administrator (Term)
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Job Description
The Claims Administrator (Term) will:
Reports to Benefits Administration Manager and receives work direction from them.
Reviews examines and directs the processing of unusual or complex claim cases or claims to service provider.
Investigates any issues with claims Adjudication and reports to the manager the complete findings.
Regularly review and update the Claims manual.
Correspond and communicate via telephone written correspondence or face-to-face with members providers consultants or other internal or external customers.
Apply guidelines determine coverage complete eligibility verification and identify discrepancies
Any other duties delegated by the Benefits Administration Manager.
Key Contacts/Relationships External and Internal:
Communicates with other departments and managers/supervisors.
Deals directly with Plan participants/members and their dependents and beneficiaries by phone fax email mail or in person.
Corresponds with insurance providers consultants and Union Representatives with regard to specific claims submitted.
To be successful as a Claims Administrator (Term)with McAteer you will need:
Minimum 3-5 years work experience in an office environment
Strong verbal and written communication skills (in both French and English)
The ability or past knowledge of interpreting Benefit Plans with the ability to apply all guidelines of each in the day-to-day workflow.
Familiarity with contract wording policy provisions and the Insurance Act.
Analytical skills needed to research review and assess claims
Familiarity with contract wording policy provisions and the Insurance Act
Excellent organizational skills.
Excellent attention to detail.
Excellent work ethic and accountability.
Ability to manage priorities and reporting timelines.
Strong verbal and written communication skills;
Strong attention to detail with exceptional organization skills;
Ability to manage multiple cases simultaneously
Excellent computer skills including MS Office applications with strong skills in MS Excel.
Co-operative team player with strong math and analytical skills.
Skill in performing detailed numerical computations.
The ability to closely analyze and focus on detailed reporting and investigate discrepancies.
Whats in it for you:
Learn by working alongside our experts
Assistance for the completion of industry designations
Competitive compensation
McAteer provides third-party advisory and administration services for over 200000 plan members and beneficiaries. We are authorized claims payors for several major insurance companies; we provide administration services to plans that are local provincial and national in scope.
Providing an inclusive accessible environment where all employees and clients feel valued respected and supported is something were committed to. We are dedicated to building a workforce that reflects the diversity of the communities in which we live and to creating an environment where every employeehas the opportunity toreach their potential. If you require an accommodation or an alternative format of any posting please reach out to.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
