Claims Examiner
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Job Location:
Monthly Salary:
Posted on:
11 hours ago
Vacancies:
1 Vacancy
Job Summary
Company Overview
Epic Health Solutions boasts over 35 years of experience in the healthcare industry providing innovative solutions in an ever-evolving marketplace. As part of an award-winning enterprise group we are proud to support a global team of more than 500 employees dedicated to enhancing healthcare services.
Summary
We are seeking a detail-oriented Claims Examiner to join our team at Epic Health this role you will be responsible for accurately entering and managing data within our systems contributing to the efficiency and effectiveness of our healthcare solutions. This position is essential for maintaining the integrity of our databases and supporting our operational goals.
Key responsibilities
- Review and evaluate Travel Insurance claims supporting documents and medical records
- Adjudicate claims in accordance with policy wording internal guidelines and regulatory requirements
- Communicate claim decisions clearly and professionally to insured clients and service providers
- Prepare detailed claim notes correspondence and denial letters as required
- Request additional information when needed and follow up with clients or providers
- Maintain accurate reserves and ensure timely updates to the claims management system
- Collaborate with internal teams to resolve complex cases and support service excellence
- Participate in quality reviews training and continuous improvement initiatives
Qualifications
- 2-3 years of experience in Insurance claims (Travel Health or related field)
- Bilingual: Fluent in English and French (spoken and written)
- Strong understanding of travel insurance policies and benefits (an asset)
- Excellent analytical problem-solving and decision-making skills
- Attention to detail and accuracy
- Strong written and verbal communication skills
- Ability to prioritize tasks and manage deadlines in a fast-paced environment
- Proficiency with MS Office
Core Competencies
- Claims Adjudication
- Customer Service Excellence
- Accuracy and Attention to detail
- Communication
- Time management
- Accountability
- Problem solving
- Teamwork
- Professionalism
If you are passionate about insurance and want to contribute to meaningful healthcare solutions we invite you to apply today and become a part of our dedicated team at Epic Health Solutions!
Job Type: Full-time
Expected hours: 40 per week
Benefits:
- Dental care
- Employee assistance program
- Extended health care
- Life insurance
- On-site parking
- Paid time off
- RRSP match
- Vision care
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: Hybrid
Language requirements: French & English
Epic Health Solutions is committed to providing an inclusive and accessible work environment. We are in compliance with the Accessibility for Ontarians with Disabilities Act (AODA) and are dedicated to ensuring equal opportunities for all applicants. If you require any accommodations during the recruitment process please send us an email on and we will work with you to meet your needs.
Key Skills
- Auditing
- GAAP
- Military Experience
- Phlebotomy
- Conflict Management
- Vital Signs Experience
- Computer Forensics
- Research Experience
- Securities Law
- Operating Systems
- PTSD Care
- RMF
