Claims Examiner

Claims Examiner Canada

The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence to internal/external customers.

In the Role

• Evaluate claims against eligibility requirements, provisions and applicable processes.
• Enter data into appropriate processing systems, including correspondence with internal and external customers.
• Research additional information to support claim processing. Perform benefit calculations. Conduct claim investigation.
• Occasional special projects.
• Participate in departmental meetings and training activities.
• Make and receive English and French phone calls.
• Process incoming and outgoing mail.
• Other duties as assigned.

Requirements

• High School or GED Required
• 1 year of general work experience, 6 months or more claims experience preferred
• Basic math skills, familiar with PC Environment
• Sound judgment, verbal and written communication skills
• Manage positive customer relationships
• Ability to evaluate claims against eligibility requirements
• Fluent in speaking and writing French

OneMain Holdings, Inc. is an Equal Employment Opportunity (EEO) employer. Qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship status, color, creed, culture, disability, ethnicity, gender, gender identity or expression, genetic information or history, marital status, military status, national origin, nationality, pregnancy, race, religion, sex, sexual orientation, socioeconomic status, transgender or on any other basis protected by law.