Language : Bilingualism in English and French is an asset.
Additional Information :
This is a 9 month contract position.
Our Group Benefits team is a leader in our target markets through service excellence and innovative technology and products.
Influenced by our co-operative values, our team of experts work collaboratively with clients to deliver solutions that meet their business needs.
The Life Claims Assessor role is the first point of contact for field partners, TPA's employers and beneficiaries for the payment of Life Claims.
This position allows claims to be reported and paid on the first point of contact which allows for increased efficiencies and improved client service.
What you’re responsible for :
Interpret / determine contract provisions on all features of a wide range of products for all three product lines; Group, Individual and Creditor to ensure proper claims adjudication
Take detailed claim reports and statements from insured, field staff, employers, Third Party Administrators (TPA’s) Credit Union’s etc.
and document files appropriately
Identify policies involving reinsurance treaties, communicate with reinsurers when necessary (verbal and written), provide appropriate claim documentation and request reinsurance recoveries
Complete new Claim Administration including history searches, file preparation, system coding and complete Claims Settlements including system coding, issuing cheques, preparing detailed settlement / approval letters, tax slips, etc.
Generate follow-up reports and prioritize activities based on defined criteria
Approve and issue expense cheques for medical reports, coroner’s reports, police reports and legal expenses
Allocate life claim examiner workflow (e.g. incoming emails, new claims, understanding authorizing limits to allocate claims (Living Benefits and Death claims)
Effectively respond to difficult phone calls from insured, Third Party Administrators, employers, gents, Credit Unions, beneficiaries etc.
What to expect :
You will provide support to clients who are experiencing a stressful personal or financial loss. A high degree of confidentiality and discretion is required.
To be successful :
You influence change and are committed to continuous improvement, in order to exceed client expectations.
You leverage critical thinking skills to identify problems and proactively propose solutions.
Your strong communication skills allow you to clearly convey messages.
You’re an effective team player who shares knowledge to support your peers.
To join our team :
Completion of high school or equivalent.
Associate, Customer Service Designation.
Two years of previous experience in specific field / industry.
Detailed understanding of a variety of systems (i.e. Ingenium, Claims Express, Life Claims Systems, Compass, OnBase, Horizon, Vital Objects, LifePages, ECM and XyberNet, Payout etc.).
Training and development opportunities to grow your career with one of Canada’s Best Employers.
Flexible work options to support your personal and family needs.
A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
Volunteer opportunities to give back to your community.