Claims Analyst - Individual Insurance

Job Title

Claims Analyst - Individual Insurance

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Build the future with us

Do you enjoy analyzing complex situations, exercising your judgment, and making a real difference in the lives of policyholders? Are you looking for a role where your analytical skills and sense of service are put to use on a daily basis? This position is for you.

As a Claims Analyst, you will be at the heart of the action, handling a variety of challenging cases. You will analyze, evaluate, and authorize claims from a diverse clientele, applying contractual terms and conditions and taking into account the medical, professional, and financial realities specific to individual insurance. Each case represents a new challenge and an opportunity to exercise rigorous, balanced, and humane judgment.

What you will accomplish with us

As a claims analyst, you will play a key role in evaluating, analyzing, and managing cases that have a direct impact on the financial security of policyholders:

· Conduct in-depth analysis of disability claims by collecting, reviewing, and interpreting all relevant information, including medical, professional, financial, and contractual data.

· Assess eligibility for benefits by applying contractual clauses, internal policies, and medical and functional analysis principles, while exercising your professional judgment.

· Manage complex and sensitive cases, including claims with high financial or human stakes, in collaboration with internal stakeholders (managers, medical advisors, legal services, etc.)

· Maintain regular communication with policyholders and authorized representatives to clarify information, answer questions, and explain decisions in a professional and respectful manner.

· Closely monitor your files, meeting established deadlines, quality standards, and productivity targets.

· Contribute to continuous improvement by updating your medical, contractual, and regulatory knowledge and sharing your expertise within the team.

· Actively participate in team collaboration by supporting your colleagues, sharing best practices, and contributing to a positive and professional work environment.

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What could accelerate your success in this position

· Strong collaborative spirit and ability to actively contribute to the achievement of team objectives.

· Keen sense of customer service, combined with a professional, rigorous, and solution-oriented approach.

· Excellent analytical, synthesis, and judgment skills, enabling you to handle complex cases effectively.

· Strong decision-making skills, with respect for deadlines, quality standards, and productivity objectives.

· Demonstrated ability to manage a high volume of files while maintaining a high level of accuracy and consistency.

· Knowledge of the medical field or long-term disability insurance (an asset).

· Independence, thoroughness, and organizational skills in managing priorities and deadlines.

· Ability to perform in a dynamic environment, adapt to change, and work under pressure.

· Advanced knowledge of English and French, as the person will be required to analyze unilingual English-language claims and communicate with English-speaking clients, healthcare institutions, and other types of collaborator

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Why you'll love working with us

· A work environment where learning and development merge with a collective pursuit of excellence;

· A healthy, safe, equitable, and inclusive environment where potential can be freely expressed and developed;

· The opportunity to work in a hybrid work environment, supported by flexibility and access to inspiring and innovative workspaces.

· Competitive benefits: Flexible group insurance, competitive pension plan, stock purchase plan, vacation and wellness and personal development days, telemedicine, employee and family assistance program, ergonomic furniture program, performance bonuses, discounts on iA products, and more!

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Apply now and take control of your career where your talent truly matters!

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Not sure about applying?

At iA, we believe in potential and value diverse experiences. If this role inspires you, go ahead and apply—you may be the perfect fit for us, and we want to get to know you!

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