Description
Position Type:
PermanentIf you’re looking for a fulfilling career that can make a real difference in your life, and the lives of others, you’ve come to the right place.
As a national health solutions partner, we put people first in everything we do - and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.
Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest - and it’s reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.
Position Summary
Reporting to the Team Leader, and working in a team environment, the Claims Analyst is responsible for a wide variety of medical claims from multiple programs with varying degrees of eligibility and policy requirements. Using an online system, the Claims Analyst will assess, analyze, investigate and pay claims, including paper submissions of special programs. The Claims Analyst is required to maintain current knowledge with respect to policy and procedure changes. The Claims Analyst will liaise closely with fellow staff, the Team Leader and the Manager on claims as they pertain to insured medical services.
Key Responsibilities
• Review, analyze, and appropriate payment of claims for various MSI programs in an accurate and efficient manner with high attention to detail on a daily basis.
• Liaise with service providers, patient, and external clients in a professional manner through oral and written communication with respect to claims submissions and program questions.
• Provide excellent customer service when answering incoming phone calls and email enquiries.
• Establish and maintain effective working relationships with other internal operational areas.
• Independent decision making and efficient and concise documentation skills.
• Perform other related duties as assigned.
Required Qualifications
Education: Post secondary education in a health related field
Work Experience: Minimum of 2 -3 years of related work experience.
Certification: Possess a Medical Terminology certificate. Candidates without this certification will not be considered.
Other Qualifications:
Able to adapt in a changing and fast paced environment with the ability to accept and implement changes; able to work independently.
Computer Skills: Strong computer skills and experience working with the Microsoft Office Suite especially Microsoft Excel; comfortable with information technology systems from a business user perspective. Efficient keyboarding and word processing skills.
Language Skills: Bilingualism would be considered an asset.
We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs. We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.
If you experience any technical issues throughout the application process, please email: Medavie.Recruitment@medavie.ca.
