Life Claims Assessor

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

📋 Description

• Evaluate coverage and eligibility for plan members and their dependents.

• Validate the contract terms applicable to each claim.

• Confirm enrollment details and beneficiary data.

• Assess documentation related to proof of death.

• Analyze supporting medical, police, and investigative reports.

• Compute eligible benefits.

• Prepare records in the claims system necessary for claim processing and payment.

• Relay decisions to claimants, beneficiaries, and group clients.

• Assist plan sponsors with inquiries regarding beneficiary appointments and claim submissions.

• Aid beneficiaries and their families in obtaining required documentation.

• Evaluate claims for Group Life, AD&D, Survivor Income, and Compassionate Assistance Program Loans.

• Report directly to the Associate Manager, Life Claims.

⛳️ Requirements

• Prior experience in the insurance sector, ideally within Group Benefits and Life/Disability claims.

• Familiarity with medical terminology and the interpretation of contracts.

• Excellent communication, judgment, analytical, organizational, and decision-making abilities.

• Capability to exhibit empathy and deliver outstanding client service.

• Proficient in Microsoft Office applications, including Outlook, Teams, Word, and Excel.

• Capacity to manage workload priorities, meet deadlines, and work autonomously or as part of a team.

• Flexible, risk-aware, and capable of thriving in a fast-paced environment.

• Bilingual proficiency in English and French is advantageous.

• If the selected candidate is based in Québec, fluency in both English and French will be necessary to assist clients from various provinces outside of Québec.

🏝️ Benefits

• Incentive programs and compensation linked to business and individual performance.

• Comprehensive health benefits.

• Dental coverage.

• Mental health support.

• Vision care benefits.

• Short-term and long-term disability insurance.

• Life and AD&D insurance coverage.

• Adoption and surrogacy benefits.

• Wellness programs.

• Employee and family assistance plans.

• Retirement savings options, including a pension plan.

• Global share ownership plan with employer matching contributions.

• Access to financial education and counseling services.

• Paid holidays, vacation, personal days, and sick leave.

• Statutory leaves of absence.

• Flexible working environment.

• Support for learning and career development.

• Assistance for well-being and inclusion initiatives.