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Bilingual Claims Analyst - Remote
Position Status: Permanent – Remote
Hours of Work: Monday - Friday 8:00am – 4:00pm EST
Rate of Pay: $19.00/Bilingual (English & French)
Position Overview:
The Claims Analyst is responsible to competently and efficiently adjudicate health and/or dental claims using a specific claims processing system developed by the client. Additional accountabilities include maintaining departmental and client expectations as outlined in the service level agreement, adhere to all corporate/regional policies and procedures, maintain turnaround time and quality of processing, and abide by assigned work schedule.
Responsibilities:
Analyze historical data and assess relevant group policy and/or provincial guidelines to adjudicate claims related to Dental, Para-Medical, Hospital, and Drug benefit types
Determine applicable insurance benefit payout for each claim as required
Demonstrate good judgement and confidence with respect to adjudication decisions
Ensure daily production meets the set standards of 100%, above required data entry/adjudication targets as outlined.
Ensure daily accuracy rates meet company standards as per the departmental contract
Work as a team player to ensure daily targets are achieved
Maintain accurate and complete record keeping and reporting as required
Support the Trainer in areas of Floor Support, and assistance with employee enquiries as required
Adhere to all corporate and client confidentiality agreements and policies
Work in a co-operative, courteous and supportive manner at all times.
Requirements:
Minimum data entry speed of 8,000 keystrokes per hour, minimum Accuracy Rate of 99%.
Ability to analyze data and make informed decisions
Ability to recognize errors and undertake corrective processes
Dependable and dedicated with strong work ethics
Detail-oriented, multi-tasker
Attending client conference calls as needed
Ability to support and relay relevant information to coworkers
Ability to perform under stressful conditions such as directional changes, tight deadlines, and limited resources
Work patiently and effectively with team deadlines, structures, and peers
NTT is proud to be an equal opportunity employer with a global culture that embraces diversity. We are committed to providing an environment free of unfair discrimination and harassment. We do not discriminate based on age, race, color, sex, religion, national origin, disability, pregnancy, marital status, sexual orientation, gender reassignment, veteran status, or other protected category.
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Hours of Work: Monday - Friday 8:00am – 4:00pm EST
Rate of Pay: $19.00/Bilingual (English & French)
Position Overview:
The Claims Analyst is responsible to competently and efficiently adjudicate health and/or dental claims using a specific claims processing system developed by the client. Additional accountabilities include maintaining departmental and client expectations as outlined in the service level agreement, adhere to all corporate/regional policies and procedures, maintain turnaround time and quality of processing, and abide by assigned work schedule.
Responsibilities:
Analyze historical data and assess relevant group policy and/or provincial guidelines to adjudicate claims related to Dental, Para-Medical, Hospital, and Drug benefit types
Determine applicable insurance benefit payout for each claim as required
Demonstrate good judgement and confidence with respect to adjudication decisions
Ensure daily production meets the set standards of 100%, above required data entry/adjudication targets as outlined.
Ensure daily accuracy rates meet company standards as per the departmental contract
Work as a team player to ensure daily targets are achieved
Maintain accurate and complete record keeping and reporting as required
Support the Trainer in areas of Floor Support, and assistance with employee enquiries as required
Adhere to all corporate and client confidentiality agreements and policies
Work in a co-operative, courteous and supportive manner at all times.
Requirements:
Minimum data entry speed of 8,000 keystrokes per hour, minimum Accuracy Rate of 99%.
Ability to analyze data and make informed decisions
Ability to recognize errors and undertake corrective processes
Dependable and dedicated with strong work ethics
Detail-oriented, multi-tasker
Attending client conference calls as needed
Ability to support and relay relevant information to coworkers
Ability to perform under stressful conditions such as directional changes, tight deadlines, and limited resources
Work patiently and effectively with team deadlines, structures, and peers
NTT is proud to be an equal opportunity employer with a global culture that embraces diversity. We are committed to providing an environment free of unfair discrimination and harassment. We do not discriminate based on age, race, color, sex, religion, national origin, disability, pregnancy, marital status, sexual orientation, gender reassignment, veteran status, or other protected category.
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