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Needed: Claims Adjudicator «

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CLAIMS ADJUDICATOR

INGLE INTERNATIONAL

 

Who We Are:

Ingle Worldwide is an organization that connects a various group of people and companies with the personalized insurance merchandise, providers, and knowledge they want for secure and wholesome travels. It gives progressive travel insurance merchandise to affinity teams, rewards packages and organizations and delivers superior buyer care with extremely educated, multilingual employees serving the wants of travellers going anyplace on this planet. Our experience might be credited to an organization tradition deeply rooted in expertise. Ingle fosters a difficult work atmosphere, but additionally a enjoyable, pleasant, and cooperative one. We additionally provide a aggressive compensation package deal and complete advantages package deal together with life, well being, dental, and imaginative and prescient, a beneficiant wellness bursary, tuition reimbursement, and enterprise informal costume. Ingle is an equal alternative employer and welcomes and encourages purposes from folks with disabilities. Lodging can be found on request for candidates participating in all elements of the choice course of.

 

Who You Are:

You’re an skilled claims adjudicator who can deal with a big case load, multi-task, and meet tight deadlines. You thrive in a fast-paced atmosphere offering wonderful customer support in each the turnaround of the declare and dealing with emails and incoming calls.  You’ll have the need to develop an in-depth understanding of this place and have the ability to simply maneuver by quite a few insurance policies to precisely assess claims.  You’re a very robust workforce participant.

 

The Position:

The claims adjudicator will probably be answerable for processing a wide range of completely different claims and speaking these choices to suppliers, members, and purchasers. This position requires robust time administration abilities and claims experience.

 

 

Obligations:

  • Course of well being, dental and imaginative and prescient claims
  • Adjudicate claims based on varied profit insurance policies
  • Present wonderful customer support for claims issues each in particular person and by way of written correspondence
  • Assist the Claims Group problem-solve and use sound judgment and discretion to proactively deal with and resolve issues
  • Work carefully with Help Group, Finance Group and different groups on day-to-day operations
  • Guarantee all work complies with the PIPEDA and HIPAA
  • Assist division initiatives that improve revenues, save prices and meet firm goals
  • Take part in consumer implementations and tasks the place required
  • Act as an SME for all claims-related issues
  • Deal with each inbound and outbound calls to members and well being suppliers as required
  • Different associated duties as assigned

 

Required Attributes:

  • Expertise within the travel insurance business is required
  • Minimal three years of related Canadian claims processing expertise
  • Expertise in processing well being, dental and imaginative and prescient claims
  • Excessive stage of proficiency in Microsoft Workplace suites
  • Superior verbal and written communication abilities
  • Sturdy time administration and organizational abilities
  • Sturdy analytical and downside fixing abilities
  • Information working with excel

 

Property:

  • Snowbird, expatriate insurance, TPA expertise
  • Price containment/supplier relations expertise
  • Expertise with medical coding requirements
  • Dispute resolutions expertise
  • GHIP restoration/coordination of advantages/subrogation
  • Expertise in dealing with US medical invoices/claims

Need to be taught extra about our firm—or discover out what different alternatives can be found? Try our weblog.

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