Claims Assistant, Accident Benefits (5‑Month Contract)

Definity Insurance CompanyWaterloo, ON
$45,000 - $70,900Hybrid

About The Position

This role involves processing invoice payments accurately and on time, ensuring proper labeling of invoices, and completing Operational Risk Events for late payments. The Claims Assistant will perform quality checks for data integrity and compliance, ensure appropriate deduction of collaterals (EHB), and make notes on claims when necessary. A key aspect of the role is providing superior customer service by building and maintaining excellent relationships with internal and external customers. The position requires adherence to Claims Best Practices, notifying claims representatives of depleted reserves, and maintaining workload within established guidelines and service standards to achieve daily KPI targets for invoices processed. The role also includes contacting medical facilities for claim details, participating in bi-weekly huddles, monitoring common mailboxes, responding to emails, and performing other general duties as assigned.

Requirements

  • Minimum 2 years of office experience
  • Strong keyboarding skills and adept at navigating through numerous screens quickly and efficiently
  • Excellent computer skills and proficient in MS Word and Excel
  • Professional, friendly, and courteous in all interactions, whether with customers or co-workers
  • Able to perform well in a busy operation and remain calm under pressure
  • Team player adaptable to a changing environment
  • Strong written and verbal communication skills

Nice To Haves

  • Some exposure to support functions in a claims area is an asset

Responsibilities

  • Processing invoices payments accurately and on time.
  • Ensure labelling of invoice is accurate (document type, subtype, title, along with other data).
  • Completing Operational Risk Events for late payments.
  • Perform quality checks to ensure data integrity and compliance.
  • Ensure collaterals (EHB) are deducted when appropriate.
  • Make a note of payments on claims when necessary.
  • Provide superior customer service by building and maintaining excellent relationships with our internal and external customers.
  • Adhere to all internal Claims Best Practices.
  • Notify claims representative if reserves are depleted.
  • Maintain workload within established guidelines and service standards and achieving the daily KPI target for invoices processed.
  • Contact medical facilities to obtain claim details.
  • Participate in bi-weekly huddles.
  • Monitor common mailboxes and respond to e-mails.
  • Other general duties as assigned.

Benefits

  • Flexible, hybrid work experience
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