Jobs in Cambridge

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AGA Canada

Bilingual Claims Examiner

Cambridge, ON, Canada

Full-time

Within 25 km of Cambridge · About 0 km from the city centre

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Job details

Job type: Full-time
Posted: Jul 11, 2022

Original job description

Who we are:

People are at the heart of the Allianz brand. At Allianz, helping people is in our DNA. We believe in being a part of the solution for a better tomorrow, and know that we have a positive impact on people’s lives across the globe. If you are looking to be part of something big, then come join our local family - we want to hear from you!

About the role:

Review, examine, calculate and make decisions on a variety of claims in accordance with applicable policy and service standards. Required to attain performance objectives on a monthly basis.

You are great at:

Reviewing, examining, calculating, and making decisions on a variety of claims received in the claims processing unit, to ensure the claim is paid in accordance with the respective policy and within the contracted timeframes.
Conducting research via policies/flipcharts that can provide additional information needed to adjudicate claims.
Entering notes into the computer system/databases as required.
Facilitating stop payment requests and processing reissues accordingly.
Placing outbound calls to customers or providers to obtain information required to adjudicate a claim.
Creating and sending various types of professional correspondence.
Responding to inter-departmental inquiries.
Responding to escalations in a timely manner.

What it takes:

Post-secondary education and a minimum of 6-12 months experience in a similar role.
Ability to pay close attention to detail and multi-task.
Possess sound judgment and good decision-making skills.
Fluency in French is required.

What we offer you:

A competitive total rewards package, including benefits coverage as of your first day of employment, participation in the company’s annual incentive bonus plan, an employer matched retirement plan, tuition reimbursement support, generous paid time off, and much more!
A Referral Program that rewards you for referring your qualified friends and family
Employee discounts at a wide variety of retailers and services
The opportunity to grow with a large, global organization

All successful candidates must be able to pass an Enhanced Reliability Check performed by the Government of Canada.

At Allianz, we understand and value diversity in our employees and are proud to be an Equal Opportunity Employer. If you require accommodation at any time during the recruitment process, please call our toll free number at 1-800-461-1079 and ask to speak to a member of the Talent Acquisition team.

Apply on recruiting.ultipro.ca About employer

More about this job

Responsibilities

The Claims Examiner at AGA Canada will review and decide insurance claims so they are paid under the policy and on time. The role also researches policies, calls customers or providers for missing information, writes correspondence, and answers internal inquiries and escalations.

Requirements

Candidates need post-secondary education and 6-12 months of similar experience, plus fluent French. Strong attention to detail, multitasking, sound judgment and decision-making are required.

Skills

Claims adjudication
Claims processing
Policy interpretation
Calculation
Decision-making
Attention to detail
Multitasking
Written correspondence
Outbound calls
Database data entry
French fluency
English fluency
Escalation handling
Research

Benefits

Benefits coverage from day one
Annual incentive bonus plan
Tuition reimbursement support
Generous paid time off
Employee referral program
Employee discounts

Keywords

claims examiner
claims adjudication
claims processing
insurance claims
bilingual French English
French fluency
claims adjuster
policy review
stop payment
reissue
customer correspondence
insurance
Allianz
Enhanced Reliability Check
claims clerk
decision-making
data entry
outbound calls

Perks

Generous paid time off
Retirement plan
Tuition support
Performance bonus
Employee discount

Tools

Computer system
Claims databases

Languages

French
English

Seniority

Entry level

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