[Hiring] Claims Analyst @Medavie

Role Description

Join Medavie and help deliver quality service to our members by supporting the processing of health and dental insurance claims.

• Analyze health and dental insurance claims to determine the eligibility of submitted expenses.
• Apply established coverage provisions, policies, and procedures to approve or deny claims.
• Obtain the information required to process claims by communicating with members by phone or in writing.
• Enter, update, and validate data within the claims processing system.
• Interact with various computer systems to assess member eligibility and coverage details.
• Conduct the necessary research and verification activities to support claim assessment.
• Create and maintain records for self-billed members.
• Perform manual calculations when claims cannot be processed automatically by the system.
• Provide professional, courteous, and efficient customer service.
• Perform other related duties as assigned by the immediate supervisor.

Qualifications

• College diploma (DEC) or equivalent combination of education and experience.
• Excellent written and spoken French.
• Good written English skills.
• Knowledge of health and dental insurance is considered an asset.
• LOMA 1 and 2 courses completed in accordance with company policy are considered an asset.

Requirements

• Strong analytical and decision-making skills.
• Initiative and ability to work independently.
• High level of accuracy and attention to detail.
• Excellent organizational and prioritization skills.
• Customer-focused with a commitment to delivering exceptional service.
• Ability to quickly learn and work with multiple computer systems.

Benefits

• Comprehensive group benefits plan including health, dental, travel, life insurance, and long-term disability coverage.
• Comprehensive training and onboarding support.
• Professional development and career growth opportunities.
• A flexible, collaborative, and wellness-focused work environment.
• A culture built on respect, inclusion, and teamwork.