Spec Claims Examiner

Overview

Review, investigate and adjudicate 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 our values of Customer View, Integrity, Partnership and Communities

What you'll need

• Required relevant experience: 1-3 years
• 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 work independently with minimal supervision
• Reliable team member with good attendance
• Customer service focused
• Ability to excel within a Purpose/Vision driven environment

Details

• Location: Bangalore, Karnataka, India