Bilingual Life Claims Adjudicator

This is a fully remote position, open to applicants in Canada.

📋 Description

• Deliver outstanding service to both customers and non-customers by demonstrating professionalism, empathy, and active listening skills.

• Examine claims and underwriting documents to ensure proper disclosure of medical history, exclusions, riders, and endorsements.

• Manage policy enhancements, premium waivers, and additional policy benefits.

• Record events accurately to maintain thorough documentation of claim files.

• Gather file information and assess policy provisions to confirm eligibility.

• Keep claim records updated in the system to guarantee precise reserve calculations.

• Initiate notifications for death claims and manage file responses.

• Oversee the team inbox for urgent requests and assign tasks as needed.

• Assist clients from various regions outside Quebec.

⛳️ Requirements

• 1-2+ years of experience in claims adjudication is preferred.

• Individual with a strong customer service orientation.

• Excellent interpersonal abilities complemented by strong oral and written communication skills.

• Capability to interact effectively with internal and external customers, claimants, brokers, physicians, and staff.

• Aptitude to respond constructively and decisively in high-pressure or emotional scenarios.

• Willingness to embrace change positively.

• Familiarity with government legislation, legal precedents, the Insurance Act, and/or the Quebec Civil Code, along with underwriting processes, is advantageous.

• Ability to excel in a dynamic, high-energy environment.

• Commitment to continuous improvement.

• Fully bilingual in French and English; required to communicate in both languages to assist clients from various jurisdictions outside Quebec.

• Strong analytical capabilities.

• Flexibility and adaptability.

• Resilience in challenging situations.

• Focused on finding solutions to problems.

• Exceptional time management skills with the ability to handle high volumes of cases within tight deadlines.

🏝️ Benefits

• Flexible work environment

• Health insurance

• Dental insurance

• Mental health benefits

• Vision insurance

• Short- and long-term disability insurance

• Life and AD&D insurance coverage

• Adoption/surrogacy benefits

• Wellness benefits

• Employee/family assistance plans

• Retirement savings plans

• Pension

• Global share ownership plan with employer matching contributions

• Financial education and counseling resources

• Paid holidays

• Vacation days

• Personal days

• Sick days

• Statutory leaves of absence

• Learning and career growth support

• Inclusion and well-being support

• Incentive compensation linked to business and individual performance