Full-Time Junior Claims Adjudicator Vaughan
430 BPASL • vaughan, Canada
Role Description
Become a vital part of the BPA team in Vaughan as a full-time Junior Claims Adjudicator. This in-office role focuses on analyzing and adjudicating claims in a timely manner.
This position requires maintaining a quota of 140 claims daily, ensuring adherence to five-day service standards. You will correspond with various stakeholders and assess claims according to contract provisions while prioritizing security and confidentiality.
Key Responsibilities:
• Analyze and adjudicate claims via paper and electronic submissions
• Maintain a daily assessment quota of 140 claims
• Evaluate claims adhering to the 5-day service standard
• Communicate with members, providers, and customers effectively
• Verify data entry for accuracy and completeness
Requirements:
• Strong analytical skills for claims assessment
• Familiarity with contract wording and insurance policies
• Intermediate computer skills in Microsoft Office and other software
• Exceptional attention t...
This position requires maintaining a quota of 140 claims daily, ensuring adherence to five-day service standards. You will correspond with various stakeholders and assess claims according to contract provisions while prioritizing security and confidentiality.
Key Responsibilities:
• Analyze and adjudicate claims via paper and electronic submissions
• Maintain a daily assessment quota of 140 claims
• Evaluate claims adhering to the 5-day service standard
• Communicate with members, providers, and customers effectively
• Verify data entry for accuracy and completeness
Requirements:
• Strong analytical skills for claims assessment
• Familiarity with contract wording and insurance policies
• Intermediate computer skills in Microsoft Office and other software
• Exceptional attention t...