Benefits Administrator

Adecco; Toronto; On-site; CAD 40,000 - 70,000; Full time

Job summary

An established industry player is looking for a Benefit Claims Adjudicator to join their vibrant team in Toronto. This temporary position offers an exciting opportunity to engage in claims management, from initial validation to processing payments. Candidates will thrive in a supportive environment where their skills in benefit claims adjudication and effective communication will shine. With potential for extension based on performance, this role is perfect for those looking to enhance their professional capabilities while making a meaningful impact in the insurance sector. If you're passionate about claims adjudication, this is the opportunity for you!

Qualifications

• Experience in benefit claims adjudication essential for smooth operation.
• Strong decision-making skills to handle various claims types proficiently.

Responsibilities

• Prepare claims meticulously for initial validation and adjudication.
• Process both paper and digital claims, including health care and dental.
• Follow up on outstanding information requests timely and efficiently.

Skills

Benefit claims adjudication

Claims processing

Effective communication

Research skills

Decision-making

Calculations for claim payments

Knowledge of ClaimSecure platform

Tools

ClaimSecure platform

Job description

We are seeking a Benefit Claims Adjudicator for a client in Toronto who values precision and effective decision-making. This temporary opportunity offers a vibrant work environment, with the potential for extension based on your performance. Our client is looking for someone to manage claims processing efficiently, from initial validation to following up on outstanding information requests. This temporary onsite position offers a wonderful opportunity to sharpen your skills and grow professionally in a supportive atmosphere. With easy accessibility via the TTC subway, getting to work will be a breeze. Ready to play a crucial part in claims management? We're eager to have you on board!

What You Will Do

• Prepare claims meticulously for initial validation and adjudication.
• Process both paper and digital claims, including health care, dental, and prescriptions.
• Engage with practitioner offices and professional associations to assess eligibility accurately.
• Follow up on outstanding information requests timely and efficiently.
• Make informed decisions on claim submissions according to the specific plan details.
• Process the payments of claims which may include general calculations and adhering to the specific plan at hand.

Your Skills

• Experience in benefit claims adjudication essential for smooth operation and processing.
• Skills in processing both paper and digital claims efficiently are essential.
• Ability to effectively communicate with practitioner offices to gather claims information is necessary.
• Research skills to assess professional eligibility for extended health claims.
• Strong decision-making skills to handle various claims types proficiently.
• Competence in performing calculations related to claim payments effectively.
• Knowledge of the ClaimSecure platform is beneficial, though not mandatory for applicants.

Interested?

We are eager to connect with candidates who are passionate about claims adjudication and can thrive in a fast-paced environment. To express your interest in this role, please send your resume immediately as our client is looking to have someone join their team today!

Seniority level

Associate

Employment type

Temporary

Job function

Administrative and Human Resources

Industries

Non-profit Organizations, Insurance and Employee Benefit Funds, and Insurance