Associate Bilingual Claims Associate


Job Description

Job Title: Operations – Associate – Bilingual – Claims Assistant

Department: Claims

Reports To: Team Lead/Assistant Manager

Job Location: 120 Eileen Stubbs Avenue, Dartmouth, Nova Scotia

Job Type: Full time, Permanent

SUMMARY

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

QUALIFICATIONS

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

  • Organizational skills

  • 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

LANGUAGE SKILLS

Ability to

  • 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.

COMPETENCIES

  • Critical thinking, customer service skills, time management, problem solving, decision-making, interpersonal skills and adaptability/flexibility.

MATHEMATICAL SKILLS

  • 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.

REASONING ABILITY

  • 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.

WORK ENVIRONMENT

  • 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.


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