Claims Examiner

Join us as a Claims Examiner, where you’ll play a key role in delivering fair and timely solutions to our clients. This role offers an exceptional opportunity to advance your career while contributing to a supportive and dynamic team.

Location:
Work from home and Hybrid (1-2 days in office) located in Montreal, Quebec.

Salary:
$47,908

Hours of Operation:
Monday to Friday, 6:00 AM - 5:00 PM (Remote training then hybrid schedule - No Weekends)


Advantages
•Full-time hours with a hybrid work schedule.
•Paid 6-8 weeks of professional training to set you up for success.
•A chance to work in a collaborative and supportive team environment.
•Coverage starts from day one, with customizable options to suit your needs.
•Your hard work is rewarded with bonuses linked to your individual achievements.
•Pursue learning opportunities with up to $2,000 reimbursed annually.
•Explore pathways for advancement within the organization.


Responsibilities
•Review claims documents and contracts to verify eligibility.
•Contact Plan Sponsors and Members within 24 hours of receiving claim information to clarify discrepancies or gather missing details.
•Communicate effectively via phone or email to ensure accurate information is collected.
•Process quick-pay claims, transferring more complex cases to Disability Case Managers.
•Prepare and issue declination letters as necessary.
•Maintain accurate documentation and organize files efficiently.


Qualifications
•Minimum of 1 year of experience in a customer service role.
•Excellent verbal and written communication skills in English.
•Ability to understand complex instructions and basic contractual language.
•Familiarity with medical terminology is an advantage.
•Proficient in Microsoft Office, with strong typing and data entry skills.
•Exceptional and effective organizational and time management skills with the ability to manage multiple priorities.
•Demonstrates excellence in phone etiquette and client service.
•Working experience within disability insurance is an asset.


Summary
We are excited to review your application! Please choose one of the following options:
Apply directly through this posting.
Visit www.randstad.ca to submit your application.
Note:
Only candidates selected for interviews will be contacted.
We sincerely appreciate your interest in this position and thank you for taking the time to apply. We look forward to reviewing your application!


Randstad Canada is committed to fostering a workforce reflective of all peoples of Canada. As a result, we are committed to developing and implementing strategies to increase the equity, diversity and inclusion within the workplace by examining our internal policies, practices, and systems throughout the entire lifecycle of our workforce, including its recruitment, retention and advancement for all employees. In addition to our deep commitment to respecting human rights, we are dedicated to positive actions to affect change to ensure everyone has full participation in the workforce free from any barriers, systemic or otherwise, especially equity-seeking groups who are usually underrepresented in Canada's workforce, including those who identify as women or non-binary/gender non-conforming; Indigenous or Aboriginal Peoples; persons with disabilities (visible or invisible) and; members of visible minorities, racialized groups and the LGBTQ2+ community.

Randstad Canada is committed to creating and maintaining an inclusive and accessible workplace for all its candidates and employees by supporting their accessibility and accommodation needs throughout the employment lifecycle. We ask that all job applications please identify any accommodation requirements by sending an email to accessibility@randstad.ca to ensure their ability to fully participate in the interview process.