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Claims Clerk - 12 Months Contract - Express Scripts Canada

Company

The Cigna Group

Address Greater Toronto Area, Canada
Employment type CONTRACTOR
Salary
Category Hospitals and Health Care
Expires 2023-08-19
Posted at 9 months ago
Job Description
Express Scripts Canada administers on behalf of Health Canada Dental Claim Adjudication.
This role entails the completion of tasks to support adjudicating Non-Insured Health Benefit Dental Claims for Aboriginals in Canada.
The role of a Clerical Support Clerk is to perform all administrative tasks required to ensure that the claims processing operation runs smoothly on a daily basis.
Clerical Support Clerks are responsible for receiving and sorting of all paper claims that Express Scripts Canada receives through multiple channels such as mail, fax and web as well as managing the storage of all physical claims.
This role contributes to Express-Scripts Canada by meeting our Claims Processing Service Levels which contributes to customer satisfaction and minimizes risk of financial penalties.
**Note: This is a 12 months contract opportunity working on-site based out of Toronto Office.**
Key Responsibilities
  • Scan and store claims based on benefits ensuring the accuracy of receive date
  • Distribute claims to Processor based on Benefits,
  • Sort claim types in batches ensuring the accuracy of receive date
  • Be responsible in pulling any filed claims upon request from internal and external clients
  • Manage the filing and storage of all paper claims in a filing room and arranging for storage offsite to be sent or retrieved
  • Count and track all claims received on a daily basis and report this to management
  • Receive and log all incoming claims from all channels on a daily basis
  • Administrative duties to ensure the office is stocked with supplies
**Qualifications**
  • Experience working in an operational setting is an asset
  • Ability to work within a team
  • Ability to work or interpret data independently
  • Working knowledge of Microsoft Office Suite Tools (Word, Excel, Outlook)
  • Basic computer skills, familiarity working with multiple screens and experience with data entry
  • Ability to work effectively in a fast paced, rapidly changing environment
**NOTE: Internal candidates should apply before July 20, 2023.**
**Express Scripts Canada is a Cigna company**
Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.
**About Express Scripts Canada**
Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy™ services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.
It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.
We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.
We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.
We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.
If you require accommodation in completing the online application process, please email:
[email protected]
Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.