Examinateur/trice bilingue des réclamations vie et invalidité

First Canadian Financial Group•Pointe-Claire, QC

10d•Onsite

About The Position

First Canadian is a national organization experiencing exceptional growth, seeking bright, hard-working individuals who share their values. They look for employees committed to learning, career growth, and opportunity, and take pride in being an organization that employees support long-term. They believe in their employees and celebrate their success by asking for opinions and feedback to maintain a "Great Place to Work" environment. The Bilingual Life and Disability Claims Examiner position, based in Pointe-Claire, Quebec, is a customer-facing role responsible for adjudicating creditor claims by phone and email.

Requirements

A minimum of 1-year experience in any of the following: Insurance / Claim Examination / Medical / Legal is preferred.
University/Diploma/Certificate preferred or other academic is required.
Intermediate skills with Microsoft Office (Word/Excel) is required.
Fluent in both English and French with proven skills in verbal and written communication is required.
Successful completion of employment, criminal, education background checks including employer reference before employment is required.

Nice To Haves

Medical terminology training or experience in the medical field is an asset; candidates without this experience will be required to successfully complete Medical terminology training within a specified time period upon commencement of employment.
Professional experience equivalencies may be considered.

Responsibilities

Gather and analyze all relevant information related to claims, including documentation from claimants, employers, medical practitioners, healthcare agencies, pharmacies, and financial institutions.
Liaise with external parties, such as medical professionals and financial institutions, to facilitate claim resolution.
Maintain accurate and organized records of all claims and interactions in compliance with company policies and legal requirements.
Verify the completeness and accuracy of submitted claims and assess them based on the terms and conditions of the coverage.
Make sound adjudication decisions in compliance with company standards and regulatory guidelines.
Serve as the primary point of contact for claimants, providing guidance on the claims process and required documentation.
Deliver exceptional customer service through clear, empathetic, and professional communication in both English and French.
Handle inquiries and concerns from clients, ensuring prompt and effective resolution.
Stay updated on changes to policies, regulations, and industry best practices.
Participate in ongoing training and development to enhance technical knowledge and skills.
Other duties as required.