Apply analytical skills to adjudicate Health and Dental claims for People Corporation while supporting plan members and service providers by phone and email.
As a Claims Adjudication Specialist, you will assess claims up to $1,500 using the adjudication platform. You will support excellent service through accurate analysis, clear communication, and timely responses. The work includes eligibility, services, confidentiality, and client satisfaction.
Key Responsibilities:
- Adjudicate Health and Dental claims up to $1,500
- Verify claim submissions and related data accuracy
- Answer inquiries from plan members and service providers
- Maintain client information security and confidentiality
- Participate in training, huddles, and team meetings
Requirements:
- Three or more years in a relevant service role
- Insurance or Health and Dental claims experience
- Excellent analytical skills and attention to detail
- Microsoft Office and office administration knowledge
- Clear verbal and written communication abilities
Bring claims adjudication, customer service, and analytical expertise to People Corporation while supporting accurate decisions and valued clients.
Health Dental Claims Adjudication Specialist in Winnipeg employer: Coughlin Winnipeg
Coughlin Winnipeg offers a supportive work environment where employees can thrive in their careers. The company values strong client relationships and provides opportunities for professional development, particularly in the insurance and disability management sectors. Employees benefit from a collaborative culture that emphasizes teamwork and effective communication.
