Consistently provide exceptional service to customers and non-customers by demonstrating the highest level of professionalism and empathy through active listening
Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements; administer policy enhancements, premium waiver and other policy benefits
Document the claim file to ensure an accurate record of events that transpire in the claim handling
Obtain proper file information and review with policy provisions to verify eligibility
Accurately maintain claim records on system to ensure accuracy of reserve calculations
Set up death claim notifications and file responses
Monitor team inbox for rush request and delegate work as required

1-2+ years’ experience in adjudicating claims
Customer service oriented individual
Excellent interpersonal skills with good oral and written communication skills for use in dealing with internal and external customers, claimants, brokers, physicians and employees
Ability to respond constructively and decisively in high pressure or emotional situations
Working knowledge of government legislation and legal precedents, the Insurance Act and/or Quebec Civil Code and underwriting processes are an asset
Fully bilingual (French/English)

health, dental, mental health, vision, short
and long-term disability, life and AD&D insurance coverage
adoption/surrogacy and wellness benefits
employee/family assistance plans
retirement savings plans (including pension and a global share ownership plan with employer matching contributions)
financial education and counseling resources
generous paid time off program including holidays, vacation, personal, and sick days

Bilingual Life Claims Adjudicator

Key skills