Life & Disability Claims Examiner

First Canadian Financial Group•Sherwood Park, AB

9d•Hybrid

About The Position

First Canadian is a national organization experiencing significant growth, seeking a Life & Disability Claims Examiner. This client-facing role, based in Sherwood Park, is responsible for adjudicating creditor claims through telephone and email. Key duties include reviewing and assessing claim documentation, liaising with claimants and external parties, making adjudication decisions in line with policy and regulatory guidelines, and providing professional client support in English. The company values learning, career growth, and employee feedback, offering a supportive environment and a hybrid work model after successful training.

Requirements

A minimum of 1-2 years 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 English with proven competencies in verbal and written communication is required.
Successful completion of employment, education, credit, and criminal background checks including employer references before employment is required.
Candidates without Medical terminology training or experience in the medical field will be required to successfully complete Medical terminology training within a specified time period upon commencement of employment.

Nice To Haves

Medical terminology training or experience in the medical field is an asset.
Fluent in French with proven competencies in verbal and written communication is an asset (an uplift of 5% is applied after the probationary period for qualified professional level French bilingualism).

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.

Benefits

Off work 1 hour early on Fridays.
Earned Time-Off Program and vacation.
Group Retirement Savings Plan with employer match.
A hybrid work model is available upon successful completion of training.
On-site gym including free weekly classes with a qualified trainer.
Newly renovated facility with ergonomic desks/chairs.
Educational assistance and career development.
Employee benefits.
Health and Wellness spending account.
Employee Assistance Program (EAP).
Employee discount programs.
A Culture Team dedicated to diversity, inclusion, and employee programs.
Employee recognition and appreciation events.
An uplift of 5% is applied after the probationary period for qualified professional level French bilingualism.