Our client is a top financial institution with significant North American holdings. They have operations across most major verticals, including institutional & corporate, wealth management, private client, commercial banking, treasury, and retail banking.
Introduction: Prime Hires is seeking a skilled Administrative Assistant- Senior to join our client.
Contract Period: 12 months with potential to extend or convert
Pay Rate: $32.16 per hour
Location: Toronto, ON
Location Type: Hybrid (twice a week in office)
Business Hours: Monday to Friday, 9 AM to 5 PM

Job Responsibilities:

• Collaborates with internal and external stakeholders to deliver on business objectives.
• Gathers and formats data into regular and ad-hoc reports, and dashboards.
• Analyzes data and information to provide insights and recommendations.
• Acknowledges receipt of new claims and request outstanding information for new claims, incomplete claims and approved claims to support processing and monitor ongoing to ensure all information is received.
• Sets up new incoming claims in the appropriate system for reported claims as required based on the client need & product requirements and send out applicable acknowledgement letters.
• Advises POS for Agency claims when a death occurs to stop premium payments.
• Partners with internal stakeholders in Agency and Direct to initiate new claims set up, monitor workflow to ensure that claims meets servicing turnaround time for adjudication process.
• Manages daily cheques for group claims by printing off cheque run information and distributing it to appropriate internal stakeholders.
• Scans identified claim files as part of front-end imaging.
• Provides business partners with monthly copy of the expense payment report.
• Answers incoming calls by policyholders, brokers, agents, beneficiaries and claimants in an efficient and effective manner delivering the desired client experience by assisting with general questions and initiating claims forms for all products.
• Answers administrative questions from Group policyholders, insured’s, brokers, third part administrators and claimants.
• Addresses any claimant or policyholder issue as part of the conversation, escalating as required for any complaint situation. Follows established policies & procedures
• Participates in quality reviews addressing any issues identified to help reduce risk inherent in claims operations.
• Follows appropriate guidelines in addressing client concerns and complaints, including documentation of claims to the Complaint’s Ombudsman.
• Completes complex & diverse tasks within given rules/limits
• Analyzes issues and determines next steps. Broader work or accountabilities may be assigned as needed.

Experience & Qualification Requirements:

• Bilingual French & English - write & speak.
• Typically between 2 - 3 years in claims team/ claims administration role, preferably in life insurance.
• Knowledge of insurance products, contracts and benefit plans (all individual, disability and group products)
• Financial services experience
• MS Office proficiency
• Excellent verbal & written communication skills.
• Excellent organizational skills
• Excellent Collaboration & team skills.

• Collaborates with internal and external stakeholders to deliver on business objectives.
• Gathers and formats data into regular and ad-hoc reports, and dashboards.
• Analyzes data and information to provide insights and recommendations.
• Acknowledges receipt of new claims and request outstanding information for new claims, incomplete claims and approved claims to support processing and monitor ongoing to ensure all information is received.
• Sets up new incoming claims in the appropriate system for reported claims as required based on the client need & product requirements and send out applicable acknowledgement letters.
• Advises POS for Agency claims when a death occurs to stop premium payments.
• Partners with internal stakeholders in Agency and Direct to initiate new claims set up, monitor workflow to ensure that claims meets servicing turnaround time for adjudication process.
• Manages daily cheques for group claims by printing off cheque run information and distributing it to appropriate internal stakeholders.
• Scans identified claim files as part of front-end imaging.
• Provides business partners with monthly copy of the expense payment report.
• Answers incoming calls by policyholders, brokers, agents, beneficiaries and claimants in an efficient and effective manner delivering the desired client experience by assisting with general questions and initiating claims forms for all products.
• Answers administrative questions from Group policyholders, insured’s, brokers, third part administrators and claimants.
• Addresses any claimant or policyholder issue as part of the conversation, escalating as required for any complaint situation. Follows established policies & procedures
• Participates in quality reviews addressing any issues identified to help reduce risk inherent in claims operations.
• Follows appropriate guidelines in addressing client concerns and complaints, including documentation of claims to the Complaint’s Ombudsman.
• Completes complex & diverse tasks within given rules/limits
• Analyzes issues and determines next steps. Broader work or accountabilities may be assigned as needed