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Job Title: Senior Claims Adjudicator (Bilingual)
Date Posted:
08/16/18 Ref. Number: 180
Full Time Part Time
Location: Toronto
Requirements:       - Minimum 3 years’ experience in individual life insurance adjudication including the investigation and detailed reporting of life insurance claims • Demonstrated mathematical aptitude and strong data analysis skills with attention to detail and accuracy. - Understanding of Canadian Life insurance products and applicable insurance laws - Good verbal and written communication skills to effectively communicate with internal and external customers/partners and vendors. • Critical thinking, customer service skills, time management, problem solving, decision-making, interpersonal skills and adaptability/flexibility. - Pursuing ALHC, FLMI or ACS - Must be able to work independently with little supervision in a team environment. - Bilingual in French and English.
Description: - Responsible for the adjudication of death claims: collects and reviews all relevant information to determine legitimacy, eligibility and benefit amount payable. • Performs all required calculations and ensures all activities are in compliance with legal and client’s standards; - Communicates verbal and written information as appropriate to those with a need to know. Ensures information is clear, accurate and consistent with all legal, privacy, confidentiality and company standards. • Follows through on all outstanding items in a timely basis as per service level agreements. - Commitment to take ownership and to resolve client issues and concerns to the satisfaction of the client and business unit. - Refers questionable/contentious claims to management for evaluation as needed and provide a recommendation for actions. - Maintains and updates all applicable system records - Other duties as required
Hours per week: TBD TBD
Rate of Pay: TBD
Contact: Karolina Borysewicz
905-948-9996 Fax: 905-948-9920

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