Claims Coordinator – 12-Month Contract

This is a fully remote position, open to applicants in Canada.

📋 Description

• Evaluate incoming employer referrals for Disability coverage and stand-alone WOP benefits.

• Organize Early Intervention services and Pre-claim files, directing them to the EIP team.

• Forward finalized claims for claim setup and Case Manager assignment.

• Initiate internally adjudicated Life and Living claims through Case Manager allocation.

• Receive and assess claim documents and referrals for Disability and Life & Living applications.

• Create new files and verify administrative details, including absence dates and personal contact information.

• Compile and submit claims to external carriers, maintaining claim records until closure.

• Clarify application procedures to employees and employers, ensuring all paperwork is completed.

• Follow up on pending paperwork, errors, and omissions.

• Review policy details to confirm insurance coverage and escalate inquiries as needed.

• Identify and track return-to-work plans prior to claim submission.

• Inform billing administration of relevant updates to WEBS.

• Respond to inquiries, emails, and voicemails within one business day.

• Input complete and accurate file information into the proprietary database system.

• Manage both incoming and outgoing phone communications.

• Submit IT tickets with required leadership sign-off.

• Recognize inefficiencies and contribute suggestions for enhancing outcomes and efficiency.

• Execute additional responsibilities as required.

⛳️ Requirements

• Minimum of 2 years of prior administrative and/or customer service experience.

• Previous experience in benefits administration is advantageous.

• Proficiency in Microsoft Excel, Outlook, and Word.

• Ability to work during the company's core business hours.

• Capability to manage sensitive information in accordance with privacy and confidentiality policies.

• Strong communication skills, demonstrating clarity, positivity, and respect.

• Ability to prioritize tasks, manage caseloads, and perform administrative duties accurately and punctually.

🏝️ Benefits

• Remote working opportunity available within Canada.

• Contract position for a duration of 12 months.

• An inclusive and respectful workplace environment.

• Reasonable accommodations offered throughout the hiring process.

• Opportunities to engage in meaningful work and advance your career.