Analyste, réclamations santé-dentaire et service à la clientèle
Core
Customer service and claims analysis for health and dental insurance claims for internal and external clients.
Role type
Claims analyst and customer service representative
Builds
Health and dental insurance claims processing and customer support
Domain
Insurance / Health and Dental
Deliverable
client delivery
Required skills
Customer service, claims analysis, data entry, written communication, multi-system navigation, compliance adherence
Preferred skills
Telus Santé software knowledge
Technologies
Office Suite (Word, Excel, Teams, Outlook), Telus Santé
Responsibilities
Receive and return calls from insured members, plan administrators, pharmacies, and service providers; Answer questions regarding collective insurance contracts for health and dental claims; Draft and process written communications (emails, letters) with insured members and partners; Analyze health care claims (medications, travel, death) according to established standards; Ensure strict adherence to personal information protection policies.
Seniority
Mid-level, 3+ years experience