Key skills
Communication
About this role
Role Overview
- Establish and maintain superior customer service to policyholders and agents
- Manage ongoing claims by requesting further medical, financial documentation or investigations
- Review claims and underwriting files for proper disclosure
- Make decisions on claim benefit eligibility determination
- Document the claim file for accurate record keeping
- Obtain proper file information and verify eligibility
- Accurately maintain claim records on system
Requirements
- Fully bilingual (French/English)
- 2-3+ years’ experience in adjudicating claims, preferably disability
- University degree in any discipline or equivalent work experience in the insurance industry is an asset
- Customer service oriented
- Excellent interpersonal skills with good oral and written communication skills
- Good working knowledge of medical conditions and terminology
- Experience in the interpretation and application of financial documentation and fair claims practices
- 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 is an asset
- Good analytical skills
Benefits
- Health insurance
- Dental insurance
- Mental health support
- Vision care
- Short-term disability
- Long-term disability
- Life insurance
- AD&D insurance coverage
- Adoption/surrogacy benefits
- Employee/family assistance plans
- Retirement savings plans
- Pension plan
- Global share ownership plan with employer matching contributions
- Financial education and counseling resources
- Paid time off including holidays, vacation, personal, and sick days
- Statutory leaves of absence