Associate Bilingual Claims Associate
Job Title: Operations – Associate – Bilingual – Claims Assistant
Reports To: Team Lead/Assistant Manager
Job Location: 120 Eileen Stubbs Avenue, Dartmouth, Nova Scotia
Job Type: Full time, Permanent
Supporting life and disability claim adjudication, the Claims Assistant is responsible for performing administrative tasks which includes sending correspondence to clients and medical facilities, making system updates and responding to coordinating schedules.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Write routine correspondence with internal and external partners.
Adherence to standard operating processes and procedures and quality guidelines
Ensure accuracy of forms, documentation and correspondence by proof reading and reviewing your work (Have a high attention to details)
Keeping up-to-date with ongoing changing processes and procedures and apply new knowledge
Work collaboratively with other departments to ensure the quality and efficiency of the claims processes
Maintain and participate in the development of resource information that ensure adherence to policies and procedures
Follows through on all outstanding items in a timely basis as per service level agreements.
Commitment to take ownership and to resolve client issues and concerns to the satisfaction of the client and business unit.
Given the very sensitive nature of the information gathered during the claims management process, extreme care must be exercised in order to guard against any breach of confidentiality
Additional duties as assigned or required
To perform this job successfully, the individual must be able to perform each essential duty effectively. The individual must possess;
Minimum 2 years administration experience
Proficient in Microsoft Office tools – Word, Excel, Access, PowerPoint, SharePoint
Excellent interpersonal abilities are required to enable effective interaction and communication in both oral and written format with employees, policyholders, employers and other insurance/medical/legal professionals
The ability and willingness to learn multiple computer systems
Strong analytical and decision making skills
Ability to multi task
Ability to effectively manage change
Demonstrated ability to work well in a team environment
Ability to adapt and update ones knowledge and skills in an ever changing environment
Knowledge and understanding of life and health insurance is an asset
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
High school diploma
Post-Secondary College / University Degree or equivalent is an asset
Read and interpret documents such as policies and operating and procedural manuals.
Write routine correspondence.to insured’s, medical and legal staff
Speak effectively and professionally to clients, external stakeholders and employees of the organization.
Fluency in spoken and written English required; fluency in French a definite asset.
Critical thinking, customer service skills, time management, problem solving, decision-making, interpersonal skills and adaptability/flexibility.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages and volumes.
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.
Hours of operation are Monday thru Friday 9am-6pm AST. (Hours may vary with reasonable notice. Overtime may be required periodically)
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office environment; the noise level in the work environment is usually moderate.
Consistent use of office equipment, computers, and phones.
Fluency in spoken and written English & French required.