Job Description

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

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Life Claims Adjudicator:


The Individual Insurance Claims department plays a crucial role with our clients as we offer them financial help when they most need it. We are looking for a motivated individual who is eager to learn to hold the position of Claims Adjudicator. The position offers the possibility to progress internally through our career ladder. Life Claims Adjudicator


Role summary: The Claims Adjudicator is responsible for the assessment of claims for individual insurance.


Main Accountabilities:

• Assess the documentation received for a claim in order to reach a decision Determine how the contract applies to each claim
• Communicate clearly and proactively with clients, advisors and various professionals and effectively manage their expectations
• Maintain established service standards Evaluate opportunities for process improvements and actively participate in team initiatives and projects


Competencies:

• Knowledge of individual life insurance
• Excellent written and verbal communication skills with an ability to handle written and telephone inquiries of a sensitive nature
• 3 years of client service experience or 2 years in a claims environment
• Strong problem solving and analytical skills
• Attention to detail
• Team player with a positive attitude and commitment to provide quality service
• Ability to balance high work volumes and telephone inquiries
• Good organizational and time-management skills
• Solid PC skills with knowledge of Word and Excel


Requirements:

• College diploma/university degree/CEGEP degree or relevant experience
• Knowledge of MLIF, Ingenium, CSW, Filenet and IBM Notes
• Bilingualism (French and English)
• Knowledge of individual life insurance


Assets:

• Education involving knowledge of Medical terminology
• First Level LOMA diploma or dedication to work towards attaining it


Analyste en Reglements Vie :


L'equipe chargee des reglements d'assurance individuelle joue un role essentiel aupres de nos clients en raison de l'aide financiere offerte au moment ou ils en ont le plus besoin. Nous sommes a la recherche d'une personne dynamique qui souhaite occuper le poste d'analyste en reglements. Le titulaire du poste aura la possibilite de gravir les echelons a l'interne grace a notre echelle de progression.


Description du poste : L'analyste en reglements est charge de l'evaluation des demandes de reglement d'assurance vie pour le secteur de l'assurance individuelle.


Principales responsabilites :

• Evaluer les documents recus concernant une demande de reglement dans le but de rendre une decision.
• Determiner l'application du contrat pour chaque demande de reglement.
• Communiquer clairement et de maniere proactive avec les clients, les conseillers et les differents professionnels et gerer efficacement leurs attentes.
• Respecter les normes etablies en matiere de service.
• Evaluer les occasions d'amelioration des processus et participer activement aux initiatives et aux projets d'equipe.


Competences :

• Connaissance de l'assurance vie
• Excellentes aptitudes pour la communication orale et ecrite et capacite de traiter des demandes de renseignements confidentielles par telephone et par ecrit
• Bilinguisme (francais et anglais)
• 3 ans d'experience en service a la clientele et 2 ans d'experience dans un environnement de demande de reglement
• Grandes aptitudes pour l'analyse et la resolution de problemes
• Souci du detail
• Esprit d'equipe, optimisme et engagement a offrir un service de qualite
• Capacite de gerer un volume de travail eleve et de nombreuses demandes de renseignements par telephone
• Bon sens de l'organisation et de la gestion du temps
• Excellentes connaissances en informatique, notamment des logiciels Word et Excel.


Exigences :

• Diplome universitaire/d'etudes collegiales/de cegep ou experience pertinente
• Connaissance des systemes MLIF, Ingenium, PSC, Filenet et IBM Notes
• Bilinguisme (francais et anglais)
• Connaissance de l'assurance vie


Connaissance des produits d'assurance individuelle Atouts :

• Connaissance de la terminologie medicale
• Niveau 1 de la LOMA ou en voie de le reussir

Job Category:


Customer Service / Operations Posting End Date:


30/01/2025