Health Insurance Management Agent

Official Internal Job Title: Disability Case Manager I

Status: Regular

As a Health Insurance Management Agent, you will verify, process, and analyze health insurance benefit claims for specialized products. You will bring your analytical mindset and diligence as you work with various contracts.

You will excel in the following functions

• Analyze the information contained in the files assigned to you, for which little or no internal and external intervention is required. Take into account contractual provisions, medical and/or death evidence, government programs, internal policies, and procedures.
• Communicate primarily by correspondence the decisions made or recommendations, whether it is an acceptance of benefits, a request for additional information, or a refusal.
• Provide customer service by communicating with insured individuals, policyholders, and/or beneficiaries to obtain specific information and provide information on claims, and answer their calls, if applicable.
• Perform technical tasks to support the management of the files assigned to you.
• Interact with relevant computer systems to update data and make payments, if applicable, taking into account the particularities of the contracts and internal directives.

Your skills and qualifications

• Hold a College Diploma (DEC) in a relevant discipline
• Proficiency in French, both orally and in writing, as well as advanced proficiency in English, both orally and in writing, due to the nature of the tasks, work tools, or interactions with colleagues, partners, clients, or suppliers who are anglophones, or to meet the company's growth objectives.

A career in a company where collaboration and the diversity of expertise are at the forefront interests you? Join our large team of over 6,500 caring employees! to discover the Beneva universe LI-Hybrid

Internal Appellation: B Settlement Agent *Beneva is an equal opportunity employer, so we encourage all Women, persons with disabilities, Indigenous people as well as visible and ethnic minorities to apply.* *Purpose:* *True to its purpose, Beneva places people at the heart of its actions and contributes to the well-being of the community. It accompanies its clients in all stages of their lives, both for their insurance and for their financial services.*

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