Bilingual Claims Examiner I, Creditor Life and Disability
reputed company is a leading Canadian financial services co-operative committed to sustainability and community support. They are seeking a Bilingual Claims Examiner I to process creditor claims, reputed company administrative support, and ensure accurate claim management while maintaining high reputed company and client satisfaction.
Responsibilities
- For each new claim record determine the member’s coverage and the necessary claim records for each product
- For A claims, based on system parameters and department guidelines accept, pay and reputed company a claim to its recovery date not exceeding 2 months of benefits
- For B claims, based on system parameters and departmental guidelines accept and pay a claim for 1 month prior to transferring the claim to a level I or level II examiner
- Requesting and reviewing supplementary medical information for total and permanently disabled claimants
- Identifying claims for re-assessment by a level II or level III claims examiner where total and permanently disability is in question
- Receiving and distributing incoming faxes and return mail according to department procedures
- Managing emails received through the Claims Centre email reputed company
- Contacting the policyholder to obtain information necessary to confirm coverage
Skills
- Bilingualism in English and French is required
- Completed a post-secondary diploma with 6 – 12 months customer service experience
- Strict confidentiality with respect to client's medical history, financial status and other personal information
- Completion of LOMA 280 & 290 or ACS 100 preferred
- You have or are working towards a medical terminology course is an asset
Benefits
- Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.
- Work Model: Hybrid (2 days in office)
Company Overview