Account Manager, Disability Claims (Bilingual)
ERGO
Montreal City
2d ago

Adjudication

  • Conducts expert disability claims adjudication within internal standards, delegated authority limits and client response timelines.
  • Monitors coverage assessment including promptly identifying, addressing and resolving coverage matters.
  • Proactively investigates, assesses, manages and resolves claim inconsistencies with clients.
  • Promptly approves payments in accordance with payment authorization protocols and client service level agreements.
  • Client Management

  • Establishes strongly positive, mutually beneficial, long-term client relationships through professional and knowledgeable communication.
  • Monitors client claim results and provides business partners with accurate client information on a timely basis through claim analytics, data mining and trend analysis.
  • Assists with identifying / implementing initiatives to enhance claim handling efficiencies and effectiveness.
  • Risk Monitoring and Claim Reviews

  • Identifies and communicates exceptions to reinsurance treaty terms and claims where non-compliance exists to the internal business partners and provides recommendations for resolution.
  • Performs client reviews according to reinsurance treaty contracts; produces excellent written analytical review reports with sound recommendations.
  • Conducts client review result presentations; follows up on recommended client actions to improve client review results.
  • Presents claims to Senior Management for evaluation / authority including completion of pertinent claim summary reports and notice of high exposure claims.
  • Knowledge Transfer

  • Creates and delivers presentations and training programs for clients and internal business partners, via industry seminars or internal publications.
  • Delivers leading-edge knowledge of individual and group disability insurance claim investigations and practices to clients and internally.
  • Applies expert risk management knowledge to client claim situations and shares expertise throughout the Munich Reinsurance Group e.

    g. product development, contract wording.

  • Engages with pricing, underwriting, and legal to ensure treaty and contractual liabilities, product language, client underwriting and claim decisions meet Munich Re’s risk standards and intent.
  • Your profile

  • Required Knowledge, Skills, and Experience
  • University degree in combination with CEBS, CSPDM, FLMI or other insurance designation.
  • Minimum 5 years of Group insurance experience with thorough knowledge of group disability claims. Exposure to different group types (union and non-union for example),complex claims and to claims under Life coverage is an asset.
  • Bilingual (English / French) written and spoken is required
  • Exhibits thoroughness, accuracy and attention to detail in claim reviews and data capture.
  • Strong analytical and inquisitive skills; excellent ability to provide timely service and achieving deliverables.
  • High degree of self-motivation, continuing development and proven ability to work independently.
  • Demonstrated desire and aptitude to learn other lines of business and claim types.
  • Excellent presentation and report creation and delivery skills. Strong oral and written communication skills.
  • Demonstrated ability to build solid client relationships.
  • Related experience in reinsurance and knowledge of underwriting / medical concepts and terminology will be an asset.
  • Thorough working knowledge of Microsoft Office suite and Excel.
  • Travel within Canada is required.
  • Report this job
    checkmark

    Thank you for reporting this job!

    Your feedback will help us improve the quality of our services.

    Apply
    My Email
    By clicking on "Continue", I give neuvoo consent to process my data and to send me email alerts, as detailed in neuvoo's Privacy Policy . I may withdraw my consent or unsubscribe at any time.
    Continue
    Application form