Claims Administrative Assistant
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47-48K
Hamilton
Full Time
Hybrid- required 3 days a week in office, 2 from home.
Full time training for 6 weeks in office

A well-established Insurance Company in the Hamilton area has openings for Claims Assistants. This position offers:

• Extensive training
• Paid sick and vacation days
• Excellent benefit package
• RRSP contribution
• Downtown location
• Hybrid – 3 Days a week in office, 2 from home.

RESPONSIBILITIES:
• Sets-up new claims in claim system and validates coverage, accurate claim coding, and adequate reserving.
• Reviews claim submissions and determines if any documentation is outstanding.
• Requests and gathers outstanding documentation and adds the information to claim files; prepares completed claim files and then refers files to assigned Claims Examiners for review and adjudication.
• Updates claims database as appropriate.
• Reviews and actions outstanding task lists and other reports as required.
• Interacts with a variety of individuals including claimants, agents, business partners, hospitals, doctors and lawyers.
• Multitasks caseloads, emails, phone calls and reporting.
• Performs other functions as required.

QUALIFICATIONS:
Education/ Experience:
• Post secondary diploma or related insurance studies/designation, or equivalent related work experience.

Skills/Abilities:
• Excellent attention to detail and organizational skills.
• Excellent verbal and written communication skills; ability to interact with a variety of people in a positive and professional manner.
• Strong time management skills.
• Ability to work independently as well as part of a team.
• Ability to maintain confidentiality in all matters.
• Customer-service oriented.
• Ability to work and handle pressure in a fast-paced high-volume environment.
• Strong computer literacy (proficiency with MS Word, Outlook, Excel).