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Claims Examiner

Trident Global Assistance Inc. - 6 Jobs
Toronto, ON
Posted 8 days ago
Job Details:
Full-time
Experienced

Claims Examiner

Trident Global Assistance is looking for four Claims Examiner to join the company on a full-time basis. Currently, this position works from home but may be required to work from the office in the future.

Responsibilities:

  • Manage mid to high-level complexity travel insurance claims;
  • Verify coverage;
  • Timely and accurately analyze and address coverage issues under insurance policies;
  • Conduct timely and effective investigations of claims using internal and external resources;
  • Determine eligibility for coverage based on the policy terms and conditions;
  • Identify subrogation and coordination of benefits opportunities; subrogate and coordinate benefits where applicable;
  • Set timely and accurate expense reserves. Manage reserves throughout the life cycle of each claim while documenting any reserve changes;
  • Accurately record claims information, conversations and decisions in the system;
  • Assist with claim inquiries;
  • Build and maintain relationships with external and internal customers to include insureds, providers and underwriters;
  • Actively participate as a member of the Claims team contributing ideas and efforts towards reaching department objectives and goals and supporting collaborative work environment;
  • Assist with training and mentoring new claims staff;
  • Take additional duties as assigned.

Requirements:

  • Excellent verbal and written communication skills
  • Strong investigative and problem-solving skills
  • Time management and organizational skills
  • Knowledge of medical terminology is an asset
  • Proficiency with MS Office and Internet
  • Passion for providing exceptional customer service
  • Required Education: Post-secondary education
  • Required Experience: Minimum of three years of experience in adjudicating travel insurance claims
  • Required Languages: French (fully bilingual) and English
  • Training provided by the company
  • Job Type: Full-time
Company DescriptionBe part of a dynamic team and make an impact in a fast-growing travel insurance company.Company DescriptionBe part of a dynamic team and make an impact in a fast-growing travel insurance company.

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