Claims Examiner (6 month contract)

Claims Examiner/Adjuster Cambridge, ON (On-site) 6-month contract 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. Reviewing, examining, calculating, and making decisions on a variety of claims received in the claims processing unit, to ensure the claim is paid under 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. Qualifications: Post-secondary education Minimum of 6-12 months experience as a Claims Examiner or similar role. Ability to pay close attention to detail and multi-task. Possess sound judgment and good decision-making skills. Fluency in French is preferred.