Life & Disability Claims Examiner

First Canadian Financial Group•Sherwood Park, AB

22h•Hybrid

About The Position

First Canadian is experiencing unprecedented growth and is seeking bright, hard-working individuals who share their values of learning, career growth, and opportunity. They aim to be a long-term employer that celebrates employee success and values employee opinions and feedback. This specific role is a client-facing position 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 English. French is an asset for this role, with a potential uplift in pay after the probationary period for qualified candidates.

Requirements

A minimum of 1-2 years 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.
University/Diploma/Certificate preferred or other academic is required.
Professional experience equivalencies may be considered.
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.

Nice To Haves

Fluent in French with proven competencies in verbal and written communication is an asset.

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 English.
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.