Bilingual Junior Disability Adjudicator

Are you looking for unlimited opportunities to develop and succeed? With work that challenges and makes a difference and a flexible and supportive environment, we can help our customers achieve their dreams and aspirations.

To be successful in our claims department you must have a passion for making a difference in our customers lives! You will be a dynamic, positive, customer service focused and creative individual in your work. You will also need to have an aptitude and demonstrated ability to think outside of the box to provide solutions and identify opportunities to improve our processes and customer experience. You are a change-maker, innovative, resourceful and thrive on pushing our company forward with fresh ideas. You are hungry for success and we foster a working environment where you can grow your skills and achieve your goals.

Position Responsibilities:

• Establish and maintain superior customer service to policyholders, agents, marketing centers

• Create a white glove customer experience for our Claimants

• Complete detailed initial telephone interviews with our Claimants

• You will have adjudication knowledge and experience

• Manage ongoing claims by requesting further medical, financial documentation or investigations as required and consult with specialists in all areas.

• Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements; administer policy enhancements, premium waiver and other policy benefits

• Make decisions on claim benefit eligibility determination and communication decisions to stakeholders

• 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

• Complete benefit payments and tax payments accurately and in a timely manner.

Required Qualifications:

• Customer service oriented individual with negotiating skills is essential.

• Ability to respond constructively and decisively in high pressure or emotional situations and to respond positively to change.

• The successful candidate will be required to communicate in English and French to support clients from various provinces outside of Québec.

Preferred Qualifications:

• University degree in any discipline or equivalent work experience.

• Good working knowledge of the underwriting process.

• Ability to thrive in a high energy culture.

• Good analytical skills to evaluate conflicting information from various key sources in order to assess risk in making timely and effective decisions with appropriate.

• Proven ability to make decisions and handle pressure.

• Continuous improvement mindset.

• Working knowledge of government legislation and legal precedents, the Insurance Act and/or Quebec Civil Code is an asset.

When you join our team:

• We’ll empower you to learn and grow the career you want.

• We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.

• As part of our global team, we’ll support you in shaping the future you want to see.

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