Health Claims Assessor Jobs

Health Claims Assessor

Location: Hybrid in Kingston, ON

Empire life is looking to hire a Health Claims Assessor to join our Group Operations team!

Why pursue this opportunity

Impactful work - get the opportunity to work on meaningful projects that have a positive impact on our customers, our company, and society as a whole.

The opportunity - collaborate with cross-functional teams and work on a variety of projects that will keep you engaged and continuously learning.

Deliver excellence - provide a personal, accurate, professional, and courteous service and resolution to our customers.

Hone your skills - this is an opportunity that allows for you to grow your technical, and functional skills.

What you’ll be working on

• Provide backup to Claims Team Lead/WorkTeam Lead in times of backlog or absences
• Manage daily workload to ensure our service promise is maintained
• Responsible for meeting or exceeding productivity and quality assurance requirements
• Responsible to assess claim documents, apply policies, procedures and contract terms to accurately enter claims details to ensure a consistent results
• Provide support to Customer Service Unit as needed
• Provide mentoring and training new employees as required
• Interact and communicate with internal and external customers through various mediums on plan design restrictions, claim eligibility, claim outcomes, and proactive, prompt, and professional addressing of inquiries
• Participate in team collaboration to ensure optimal workflow

What we’re looking for you to have

• Bilingual (English/French) is an asset
• Ability to conduct research, investigate, analyze and present information to resolve problems
• Knowledge of or completion of a medical and/or dental terminology course is an asset
• Knowledge of word processing, excel, email, internet and database computer software
• Well-developed written/verbal communication and interpersonal skills
• Ability to apply policy terms and adjudication guidelines
• If you are applying for a position which is open to applicants across Canada, unless otherwise indicated in the position, language proficiency in English is required for communicating with customers, advisors, or employees across Canada.
• Ability to prioritize and balance multiple tasks
• 0 – 3 years work experience in an office environment, preferably in a health care or dental setting
• Strong attention to detail, concentration, and time management skills

Beyond the salary

For regular full-time positions, Empire Life offers a comprehensive total rewards package that includes:

• A cash employee referral program
• Top up programs for parental leave and compassionate leave
• A comprehensive employer-funded benefits package that includes life insurance, disability, health and dental and a generous health account
• Employer-sponsored wellness and recognition programs
• Four weeks annual vacation from hire date
• Competitive salaries with annual pay increases
• Competitive uncapped commission for sales positions
• A defined contribution pension plan with generous employer matching
• Annual bonus program, which recognizes both strong company performance and individual contributions
• Flexible work arrangements and an annual allotment of personal health days.

To learn more about working at Empire Life, visit https://www.empire.ca/workatempire.

Get to know us

Empire life is proud to be an equal opportunity employer. We celebrate diversity, are committed to creating an inclusive environment, and welcome everyone to participate in our application process. We encourage those of all backgrounds and experiences to apply, even if you don't believe you meet each unique qualification outlined. Applicants will receive equal consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, or age.

Empire Life welcomes applications from people with disabilities and disabled people. Accommodations are available upon request for candidates taking part in all aspects of the screening and selection process. If you need this job posting in an alternative format or have any accessibility questions, please contact [email protected].