Are you looking for unlimited opportunities to develop and succeed? With work that challenges and makes a difference and a flexible and supportive environment, we can help our customers achieve their dreams and aspirations.
To be successful in our claims department you must have a passion for making a difference in our customers’ lives! You will be a dynamic, positive, customer service focused and creative individual in your work. You will also need to have an aptitude and demonstrated ability to think outside of the box to provide solutions and see opportunities to improve our processes and customer experience. You are a change-maker, innovative, resourceful and thrive on pushing our company forward with fresh ideas. You are hungry for success, and we cultivate a working environment where you can grow your skills and achieve your goals.

REQUIRED QUALIFICATIONS:

• Fully bilingual (French/English): The successful candidate will be required to communicate in English and French to support clients from various jurisdictions outside of Quebec.

PREFERRED QUALIFICATIONS:

• University degree in any field or equivalent work experience.
• Bi-Lingual- Efficient in both written and verbal communication
• Strong customer service
• Excellent people skills with good oral and written communication skills in English for use in dealing with internal and external customers, clients, advisors, physicians, employees, hospitals, investigators, and lawyers.
• Ability to respond constructively and decisively in high pressure or emotional situations and to respond positively to change.
• Working knowledge of government legislation and legal precedents, the Insurance Act and/or Quebec Civil Code is an asset.
• Good analytical skills to evaluate conflicting information from various key sources to assess risk in making timely and effective decisions.
• Proven ability to make decisions and handle pressure.
• Continuous improvement mindset.

• Establish and maintain superior customer service to Clients, Advisors, and Internal Stakeholders
• Create a white glove customer experience for our clients.
• You will have knowledge and experience.
• Evaluate Premium Waiver Claims by reviewing documentation and investigations, requesting medical evidence as required, and assessing the eligibility of the claim.
• Excellent phone call etiquette, and ability to conduct Tele-Phone Interviews
• Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements; administer policy enhancements and other policy benefits.
• Make decisions on claim benefit eligibility determination and communication decisions to team members.
• Document the claim file to ensure an accurate record of events that transpire in the claim handling.
• Obtain proper file information and review with policy provisions to verify eligibility.
• Accurately maintain claim records on system to ensure accuracy of reserve calculations