Bilingual Claims Specialist I
- Employer: iA Financial Group
- Office: 400-988 Broadway West
- City: Vancouver
- Province: British Columbia
- Job category: Claims - Generalist
- Job ID: JR10009441
- Job type: Permanent Job Full time
- Apply before: 2021-07-30
iA Financial Group is the fourth largest life and health insurance company in Canada and offers a wide range of products for all stages of life and to meet the needs of clients across its vast sales network. Founded in 1892, iA Financial Group’s stability and solidity make it an employer of choice that invests in its employees and their development over the long term.
With operations across Canada and in the United States, iA Financial Group and its over 5,000 employees work hard every day to offer the best service to over four million clients.
Sector: Special Market Solutions - Claims; Working Environment: Currently telecommuting but will be transitioning to a hybrid model ; Location: Vancouver; Status: Permanent; Start Date: As soon as possible; Language: French and English (Bilingual) is a requirement
Reporting to the Claims Manager, the Claims Specialist will be responsible to handle complex claims. They must be well versed in AD&D, Life, CI, Disability and Health claims.
As a senior member of the Claims team, the Claims Specialist maintains an outstanding business relationship as it relates to claims with our Claimants, key partners TPA/Brokers and other Stakeholders.
Are you someone who is passionate about providing exceptional customer service, have excellent verbal and written communication skills (French/English)? Are you looking for a role where you can work alongside and positively support and encourage the development of yourself and other team members knowledge and skills? If so, this would be the perfect role for you!
In this role you will be responsible for:
Foster a culture of openness and flexibility with TPA’s and brokers while being compliant with Privacy
Develop and maintain positive and effective business relationships with the claimant base, brokers, group policyholders; benefit administrators, reinsurers and Regional offices staff.
Participate in meetings to discuss claims services and practices, and participate in presentations put on by internal teams or external organizations
Adjudicate complex and/or contentious AD&D, Life, Disability, CI claims, including waiver of premium claims. Will handle level one Appeals. Review proposed amendments and updates being considered to claims or policy forms and provide an appropriate opinion and/or comments concerning the acceptability/adequacy of the proposed change; Will review claims with the Medical Consultants.
May be required to appear on behalf of the Company to testify at Examination for Discovery and other legal proceedings during the course of litigation proceedings when claim decisions are contested, therefore, some travelling is required
Assist with some training and support the development of new hires so that they are well prepared to meet both customer needs and business outcomes.
Evaluate and provide feedback on new hire/learner progression, including providing direction on the key competencies that the new hire is performing well and where there have developmental opportunities.
What we are Looking For:
Degree in Health Sciences or Business Administration or equivalent education and experience.
5-10 years claims experience within the Group Benefits or Special Risk insurance industry
Excellent knowledge of group life, health, accident and sickness plans and understanding of Third Party Administrators and Third Party Payors
Strong desire to provide Superior Customer Service and relationship building skills
Possess strong analytical skills with high attention to detail
Ability to remain calm while being pressured to make payments quickly.
Ability to multi-tasking and prioritize work effectively
Have strong coaching, communication, and presentation skills
Proven ability to manage multiple competing projects and deadlines
Excellent computer skills including all Microsoft Suite applications.
iA Financial Group is committed to having an equal access employment program and welcomes applications from women, visible minorities, Aboriginal peoples and disabled persons. Any use of the masculine form is to simplify the text and includes the feminine form.
Also, we are committed to fostering a workplace that promotes diversity and inclusion. We can provide accommodation in our recruitment and selection processes to applicants with disabilities where required. Please contact your Recruiter, or send an email to firstname.lastname@example.org.