Spec Claims Examiner-2

Overview

Claims Examiner role reviewing, investigating and adjudicating Canadian group health and dental benefit claims submitted by plan members, making payment decisions and meeting performance targets.

What you'll do

• Review, investigate and adjudicate Canadian health and dental claims in accordance with Group policy contracts
• Conduct follow up with health and dental service providers for incomplete claims information
• Make accurate payment decisions according to adjudication guidelines
• Live the company values of Customer View, Integrity, Partnership and Communities

What you'll need

• Ability to handle large volumes of work with a high level of accuracy
• Well developed analytical skills
• Excellent written and verbal communication skills
• Proven organizational skills
• Ability to work in a team environment as well as independently with minimal supervision
• Reliable team member with good attendance
• Customer service focus
• Ability to excel within a purpose/vision driven environment
• 1-3 years of relevant experience

Details

• Location: Bangalore, Karnataka, India