Claims Analyst

Domain : Claims and administration (Life Insurance)

Mode : Hybrid

Type : Permanent, full time

Location : Vancouver / Toronto

Language : French and English

Are you someone who is passionate about providing exceptional customer service, have a great sense of collaboration and is really attentive to detail?

Reporting to the Claims Manager in the Special Markets division, you will adjudicate and manage a fluctuating caseload of new and ongoing disability, life, critical illness claims and health claims. You will be assessing claims and making challenging decisions by following policy guidelines which the client may challenge, while maintaining an outstanding business relationship with our Claimants, Key partners TPA/Brokers and other Stakeholders

In this role you will be responsible for:

• Making adjudication of claims and ensuring you adhere to the Policies. 
• 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;
• 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.
• May handle level one appeals dependent on experience.
• May 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.
   

What we are Looking For:

• Degree in Health Sciences or Business Administration or equivalent education and experience.
• 3 years of experience in the Insurance industry
• Knowledge of group life, health, accident and sickness plans and understanding of Third Party Administrators and Third Party Payors (Asset)
• 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;
• Advanced level of French language skills, as the person will be working on auditing and reviewing claims in French and communicating with French speaking clients and colleagues on a daily basis.

Compensation :

The typical hiring range for this position is between $55,000 and $65,000; The base salary offered is based on location and may vary depending on skills, job knowledge, experience and internal equity. All permanent iA employees are also entitled to an annual bonus.

At iA, we are committed to a fair, market-based compensation structure. Our market data is updated annually to reflect the most recent market conditions.