Appeals Analyst (Field : Insurance | Group Benefits)
January 13, 2023
$56,954 per year
Type of job
Day shift from Monday to Friday (37.5 hours per week)
New recruiting partner of this company
People say you have an analytical mind?
Do you have excellent writing skills in both official languages?
We have the right job for you!
Our client, an entity responsible for ensuring the proper administration of the largest health care plan in the country, is looking for an Appeals Analyst. Your role? Review requests for plan member files.
Perform opening of appeal files, preparation of the file and entry of relevant details into the database.
Conduct review, research and analysis of appeal requests.
Communicate with stakeholders to obtain information needed to process requests.
Write analytical summaries for each appeal and present them at meetings.
Review error cases and authorize resolutions.
Prepare correspondence related to appeal requests.
Participate in the preparation of reports.
Contribute to research for appeal requests or complex issues.
Carry out any other related duties.
If you are ready to take on new challenges, we would like to meet you!
Regular salary review and possibility of promotion.
Hybrid work mode.
Additional compensation in lieu of retirement benefits.
Benefits: Full range of medical and dental benefits, as well as a long-term disability and life insurance program.
Vacation: 3 paid weeks.
Sick Days: 15 paid days.
Paid leave (family): 5 paid days.
Continuing education and professional development.
Post-secondary degree (university degree or college diploma).
Minimum 3 years of experience.
Proficiency in MS Office (intermediate to advanced level for all tools).
Bilingual - Spoken and Written // Excellent writing skills in both official languages.
Knowledge of SharePoint (an asset).
Experience in the field of group insurance (an asset).
Possess strong interpersonal skills.
Demonstrate discretion, confidentiality and diplomacy.
Be thorough in your work and have excellent attention to detail.
Excellent organizational and priority management skills.