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Medical Claims jobs in Ottawa, ON

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    • Spotting Issues, spotting the issues that relate to a mid-risk claim, and how to properly review those claims;
    • Ensure Proper Documentation of CRM;
    • A University degree in a related bio-medical field.
    • Minimum of 2 years of experience in medical editing.
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    • Incident/claims data analysis for trend identification.
    • WSIB/CNESST claims processes, documentation, and appeals.
    • Supporting Joint Health and Safety Committees.
    • Examines policies and settles claims while maintaining claims costs and abiding by provincial licensing regulations.
    • 2 -10 years’ experience handling bodily injury claims, including both general liability/premises operations claims and auto tort liability.
    • Coordinate employee leave programs, return-to-work plans, and accommodation processes in collaboration with employees, leaders, medical professionals, and third…
    • Investigate disability claims to verify the authenticity of reported injuries or illnesses, including conducting interviews, reviewing medical records, and…
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    • Review all file material on low level claims.
    • Must provide first contact on new claims in a timely manner.
    • Determine entitlement to benefits as per insurance…
    • Examines policies and settles claims while maintaining claims costs and abiding by provincial licensing regulations.
    • Complete insurance and other claim forms.
    • Initiate and maintain confidential medical files and records.
    • Knowledge of medical terminology and procedures is an…
    • Experience with occupational/non-occupational health claims management.
    • Develop and maintain ongoing relationships with internal and external stakeholders,…
    • Monitor billing queues and outstanding claims.
    • Reconcile submitted claims against appointments completed.
    • Minimum 2 years of medical billing experience.
    • Review of medical and vocational rehabilitation briefs.
    • Complete review of medical briefs and process for assessors.
    • Perform clerical tasks such as filing, faxing, scanning, and assist with insurance claims and prescription transfers.
    • Interpreting insurance information and processing claims.
    • Billings Bridge Dental Centre is seeking a full-time Dental Administrative Assistant to join our well-…
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Career Resources:

Claims Manager
Windley Ely
·
2.4
Ottawa, ON K1P 6L5
•
Hybrid work
$53,500 a year
Permanent, Full-time
Apply now

Job details

Here’s how the job details align with your profile.

Pay

$53,500 a year

Job type

Permanent
Full-time

Benefits

Pulled from the full job description
Tuition reimbursement
Vision care
Dental care
Employee assistance program
Disability insurance
Company pension
Casual dress

Full job description

Employment Responsibilities

  • Accept and Review Prior to submission all mid risk claims;
  • Spotting Issues, spotting the issues that relate to a mid-risk claim, and how to properly review those claims;
  • Issue timelines and communication with WCB Boards;
  • Ensure that return to health, return to work and legal issues are tracking against standard; Review of when to Liaise with the Toronto RTW specialist;
  • Ensure Proper Documentation of CRM;
  • Client Calls - One client call per week re: complete claim review updates; Review of what issues a claims manager should not be dealing with; and Junior Claims Specialist and Legal Assistant Oversight.

Qualifications:

  • Minimum of 3 years work experience in a workers’ compensation claims management capacity either at the WSIB/WCB (or a similar provincial workers’ compensation board-commission) or in an in-house capacity at a private company with corresponding knowledge of workers’ compensation statutes, policies and procedures, experience rating analysis and workplace health and safety.
  • Supervisory experience and a high level of oral and written communication skills.
  • Ability to work within a demanding and fast paced environment
  • Personal initiative and ability to work independently and to meet deadlines
  • Familiarly with Microsoft products
  • Post secondary education, preferably in a related field, or a human resources and or health and safety and or insurance certificate designation are assets. In absence of these qualifications, significant consideration will be given to applicants with claims management experience.
  • Paralegal license would be an asset.
  • This is for a current open position.

Pay: $53,500.00 per year

Benefits:

  • Casual dress
  • Company pension
  • Dental care
  • Disability insurance
  • Employee assistance program
  • Tuition reimbursement
  • Vision care
  • Work from home

Work Location: Hybrid remote in Ottawa, ON K1P 6L5

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