Examinateur/trice bilingue des réclamations vie et invalidité

First Canadian Financial Group•Pointe-Claire, QC

1d•Onsite

About The Position

First Canadian is a national organization experiencing unprecedented growth and is seeking to hire bright, hard-working individuals who share their values. They are looking for employees committed to learning, career growth, and opportunity, and pride themselves on being an organization that employees support long-term. First Canadian believes in its employees and celebrates their success by seeking their opinions and feedback to continue being a Great Place to Work. The Bilingual Claims Examiner, Creditor Life & Disability, reporting to the Manager, Creditor Life & Disability Claims, based in Pointe-Claire, is a client-facing role responsible for adjudicating creditor claims via telephone and email. The position involves reviewing and assessing claim documentation, liaising with claimants and external parties, making adjudication decisions in accordance with policy and regulatory guidelines, and providing professional client support in both English and French.

Requirements

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

A minimum of 1-year experience in any of the following: Insurance / Claim Examination / Medical / Legal is preferred.
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.