Competition Status: Posting Cancelled
Approximately 251 individuals applied for this opportunity.
Due to operational reasons the recruitment for this position has been cancelled.
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Thank you for your interest in the Ontario Public Service.
CLAIMS ASSESSOR
Organization:
Ministry of Health and Long-Term Care
Division:
Registration & Claims Branch
Language of Position(s):
Bilingual English/French
Job Code:
09OAD - Office Administration 09
Salary:
$23.46 - $27.35 Per Hour*
*Indicates the salary listed as per the OPSEU Collective Agreement.
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 English/French 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 as applicable 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 being offered a position with the Ontario Public Service for a specific time period (e.g. one year), or from being offered 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.
All Ontario Public Service external job advertisements are posted in English and French. To confirm the language requirements of a job, check the "language of position" information at the top of each job ad. For all positions, candidates will be assessed in English, the business language of the Ontario Public Service. For English/French designated bilingual positions, candidates will also be assessed through French-language proficiency testing.
Toutes les offres d'emploi externes de la fonction publique de l'Ontario sont affichées en anglais et en français. Pour connaître les exigences linguistiques, vérifiez les renseignements sur la « langue du poste » figurant dans le haut de chaque offre d'emploi. Pour tous les postes, l'évaluation des candidates et candidats se fera en anglais, la langue usuelle de la fonction publique de l'Ontario. En ce qui concerne les postes désignés bilingues, la maîtrise du français des candidates et candidats sera également évaluée.
