Finance/ Claims Examiner

at  Appleone

DESCRIPTION

Claims Examiner
Downtown Hamilton
Permanent
Salary up to 50K

Company offers:

• Outstanding benefit package
• Excellent training provided
• 8:30am-4:30pm Monday-Friday

Hybrid- working 3 days in office

QUALIFICATIONS:

Education/ Experience:

• University Degree in Finance, Accounting, Commerce or Business.

Skills/Abilities:

• Excellent analytical skills.
• Excellent verbal and written communication skills; ability to interact with a variety of people.
• Ability to accept direction but also to take initiative on investigations and paperwork.
• Ability to work independently.
• Ability to maintain confidentiality in all matters.
• Customer service oriented.
• Ability to make decisions and handle pressure in a fast paced environment.
• Excellent Word and Excel skills.

ADDITIONAL SKILLS

(none specified)

• Reviews claims and extracts information for processing.
• Checks claims against appropriate policies. Interprets policy provisions based on individual circumstances.
• Verifies, corrects, and completes claims information by telephone, letter, or personal contact.
• Interacts with claimants, agents, hospitals, doctors and lawyers.
• Conducts investigations and gathers supporting documentation on individual claims.
• Calculates benefits payable.
• Approves (to a specified amount) or denies claims in accordance with established procedures.