Group Benefits Adjudicator — In-Office, Growth & Benefits

Applytojobs; Ayr; Sur place; CAD 55 000 - 75 000; Plein temps

Avantages offerts par ce poste

Group Benefits Plan

Growth Opportunities

In Office

Competitive Salary

Résumé du poste

Applytojobs in Ayr, Ontario is seeking a Group Benefits Adjudicator with a minimum of 3 years' experience in group benefits claims adjudication. You will adjudicate claims, assist clients through the member portal, and support the claims processing team to ensure accurate and timely service.

The role requires strong interpersonal skills, meticulous attention to detail, and the ability to interpret plan guidelines. The position is full-time and in-office with growth opportunities.

Qualifications

• Minimum of 3 years in an insurance claims adjudication role.
• Exceptional interpersonal skills to build positive client relationships.
• Attention to detail and accurate client file maintenance.
• Ability to interpret claim guidelines in ambiguous situations.
• Team player with initiative and commitment to quality.

Responsabilités

• Adjudicate claims by collecting and reviewing information to determine legitimacy, eligibility and payout.
• Collaborate with development teams to improve adjudication processes.
• Process all claims accurately and promptly within service standards.
• Resolve client issues and concerns in a customer-service capacity.
• Refer questionable claims for evaluation and provide action recommendations to minimize fraud.
• Maintain and update all relevant system records.
• Ad hoc duties as required.

Connaissances

Claims adjudication

Interpersonal skills

Detail orientation

PC proficiency

MS Word

MS Excel

MS Outlook

Outils

MS Word

MS Excel

Outlook

Description du poste

Applytojobs in Ayr, Ontario is seeking a Group Benefits Adjudicator with a minimum of 3 years' experience in group benefits claims adjudication. You will adjudicate claims, assist clients through the member portal, and support the claims processing team to ensure accurate and timely service.

The role requires strong interpersonal skills, meticulous attention to detail, and the ability to interpret plan guidelines. The position is full-time and in-office with growth opportunities.