Claims Analyst

Backoffice & Admin Orangeville, Ontario


Description

Position Overview:

For the Claims Analyst (Medical, Non-Government) position, the successful candidate is able to accurately and productively process basic level health claims on a specific client claims processing system. To maintain departmental and client satisfaction as outlined in a service level agreement pertaining to policies and procedures, turnaround time and quality of processing. To adhere to departmental and regional internal policies and procedures as outlined by Millennium1 Solutions.


Responsibilities:

  • Registering and Interfacing Health claims - data entry and decision-making functions.
  • Demonstrate good judgement and confidence with respect to adjudication decisions.
  • Must reach and maintain departmental accuracy goals in the given time schedules- 98% accuracy level is the mandate.
  • Must reach and maintain departmental hourly production targets as outlined.
  • Maintain accurate and complete record keeping and reporting as required.
  • Maintain personal Operational Manual(s) with specific Client and Company Information.
  • Adhere to all Company policies as outlined by Millennium1 Solutions.
  • Adhere to Millennium1 Solutions Corporation and Client confidentiality agreements.
  • Work in a co-operative, courteous and supportive manner with Client, peers and Management. 

Requirements: 
 
  • Flexible schedule; days, evenings and weekends, as needed.
  • Dependable, dedicated worker, with strong work ethics.
  • Detail-oriented, multi-tasker.
  • Self-starter that shows initiative.
  • Ability to relay information to others and check for understanding.
  • Ability to perform under stressful conditions such as directional changes, tight deadlines, limited resources etc.
  • Work patiently and effectively with team deadlines and structures.