Ontario Public Service Careers - Job Preview
headDivide.jpg
Apply By: Monday, January 14, 2013 11:59 pm EST Print this pagePRINT
 

Competition Status: Posting Cancelled

Approximately 251 individuals applied for this opportunity.

Due to operational reasons the recruitment for this position has been cancelled.

To look for other job opportunities that match your skills and experience go to Job Search. You may also subscribe to our Job Alert service to receive emails when new jobs open up that match your determined search criteria.

Thank you for your interest in the Ontario Public Service.

CLAIMS ASSESSOR
Organization:    Ministry of Health and Long-Term Care
Division:    Registration & Claims Branch
City:    North York
Job Term:    1 Permanent
Job Code:    09OAD - Office Administration 09
Salary:    $23.46 - $27.35 Per Hour*
Posting Status:    Open
Job ID:    49014
 View Job DescriptionView Job Description
 

Bring your knowledge of medical terminology and human anatomy, and your exceptional analytical skills to our team at the Ministry of Health and Long-Term Care to process medical claims.

What can I expect to do in this role?

You will:
• use your research skills to assess claims and analyze payment irregularities
• respond to inquiries
• initiate payments, adjustments or recoveries
• prepare legal and executive summaries
• provide service to medical providers and the public
• deal with confidential and sensitive medical and personal information

How do I qualify?

Mandatory:
•You are proficient in English and in oral French at the advanced level

Research and Analytical Skills:
• You have proven research and analytical skills to evaluate and adjudicate stakeholder claims to determine appropriate payment and confirm eligibility for programs
• You have proven ability to apply discretion and judgement to determine when to escalate contentious issues and claims and adjudicate payment as applicable

Communication and Interpersonal Skills:
• You demonstrate communication and interpersonal skills to provide detailed and understandable explanations on work processes and claims payments to internal and external clients and interact with team members
• You demonstrate tact and diplomacy to understand and respond appropriately to issues, dealing with conflict situations and/or with sensitive medical and financial information

Technical Knowledge and Skill:
• You have knowledge of medical terminology and human anatomy to read and understand operative and emergency reports
• You have proven ability to understand, interpret and apply policies, and work within guidelines, procedures, and legislation such as Freedom of Information and Protection of Privacy Act

Organizational and Team Work Skills:
• You have well developed organizational skills to organize and manage workload, process a high volume of claims and inquiries within strict timeframes
• You have proven ability to work cooperatively in a team to meet deadlines and organization goals, and assist in the training of new and existing employees

Other Essential Skills:
• You have Mathematical skills to calculate fees, recognize billing irregularities and reconcile payments and adjustments
• You have demonstrated experience using personal computers and software (e-mail, word processing, internet, databases) as well as keyboarding skills to input, access, retrieve information and create correspondence and reports

Additional information:

Address:  
  • 1 Bilingual Permanent, 47 Sheppard Ave E, North York, Toronto Region
Compensation Group:   Ontario Public Service Employees Union
Schedule:   3.7
Category:   Administrative and Support Services
Posted on:   Wednesday, December 19, 2012
 
Note:
  • This ad is also available in French.
  • Prior to the offer of employment, in accordance with the Ontario Public Service personnel screening checks policy, the top applicant(s) will be required to undergo personnel screening checks, which includes a police records check.
  • T-HL-49014/12
All external applicants (including former employees of the Ontario Public Service) applying to a competition in a ministry or Commission public body must disclose (either in the cover letter or resume) previous employment with the Ontario Public Service. Disclosure must include positions held, dates of employment and any active restrictions from being rehired by the Ontario Public Service. Active restrictions can include time and/or ministry-specific restrictions currently in force, and may preclude a former employee from applying and/or accepting a position with the Ontario Public Service for a specific time period (e.g. one year), or from applying and/or accepting a position with a specific ministry (either for a pre-determined time period or indefinitely). The circumstances around an employee's exit will be considered prior to an offer of employment.
 
Remember: The deadline to apply is Monday, January 14, 2013 11:59 pm EST. Late applications will not be accepted.

We thank you for your interest. Only those selected for further screening or an interview will be contacted.



Job advertisements for positions that have been designated bilingual will be provided in both English and French on the website. Positions that are not designated bilingual are not translated and are displayed in English only on both the English and French versions of the website.

Les annonces d'emploi pour les postes désignés bilingues sont publiées en anglais et en français sur le site Web. Les annonces pour les postes qui ne sont pas désignés bilingues ne sont pas traduites et elles figurent en anglais seulement, tant dans la version française que dans la version anglaise du site.


The Ontario Public Service is an inclusive employer.
Accommodation is available under the Ontario Human Rights Code.

Note: The only website where you can apply on-line for positions with the Ontario Public Service is http://www.gojobs.gov.on.ca

 
*Indicates the salary listed as per the OPSEU Collective Agreement.
 
 
 
Greater Toronto's Top Employers Canada's Best Diversity Employers Canada's Greenest Employers Best Employers for New Canadians The Career Directory: Canada's Best Employers for Recent Graduates Canada's Top Employers for Young People