Claims Examiner

- Consult with stakeholders if coverage can be approved or declined.
- Communicate with plan members on a daily basis


Advantages
- Permanent Opportunity
- Hybrid working model after training
- 2 weeks training provided
- Located in Winnipeg
- Benefits and Vacation offered
- $21.28/hr
- Great opportunity to build your network


Responsibilities
What you will do:

- Review medical information submitted by the patient’s physician to determine if all of the necessary information has been received in order to complete the assessment.
- Communicate verbally or in writing with either the plan member, the pharmacy, or the physician to obtain any missing information.
- Determine, based on the group plan parameters, if coverage is eligible under the group plan.
- Review the medical information
- Communicate with internal stakeholders in all aspects

Qualifications
What you will bring:

- Ability to deliver high quality results with speed and accuracy in a fast paced challenging and ever changing work environment
- Strong organizational, quality and time management skills
- Excellent analytical, investigative and problem solving skills
- Strong customer service skills
- Excellent verbal and written communication skills
- Experience working in Excel, Word and Access. Excellent keyboarding skills of 40wpm
- At ease navigating through multiple computer programs simultaneously
- Knowledge of the insurance industry and exposure to drug plans will be considered an asset
- Bilingualism (English and French) is considered an asset

Summary
If you believe this amazing opportunity is a fit for you, please apply directly today!


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.