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PLEASE REVIEW THE FOLLOWING JOB DESCRIPTION:

Reporting to the Director, Insurance Solutions, you will investigate and evaluate the eligibility of life, disability and job loss claims.

EDUCATION AND EXPERIENCE

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
At least 5 years’ experience in claims administration in the life insurance industry (required)
Fluently bilingual in French and English (required)
Experience dealing with medical professionals (required)
Prior experience working with creditor insurance products (preferred)
LOMA courses – completion of Levels 1 and 2 (preferred)

FUNCTIONAL SKILLS

Excellent communication (oral and letter writing), interpersonal, and collaboration skills
Strong analytical, problem-solving, and decision-making skills
Ability to interact with clients and other stakeholders at all levels
Ability to prioritize and multitask
Strong Microsoft Office Word skills
Willingness to take industry courses
General Description of Available Benefits for Eligible Employees of CRC Group: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Ensure accurate and timely investigation, evaluation, and eligibility of life, disability, and job loss claims based on medical information, job requirements, non-medical factors, and policy terms within established service standards and operating protocols.
Communicate decisions and recommendations to management and clients.
Ensure accurate and timely documentation of all communication with customers.
Collaborate with management to exchange ideas, gather information, and offer solutions on claims.
Ensure proactive communication with policyholders regarding claim status and developments.
Provide claims administrative support to other departments when required