Bilingual Claims Examiner

Reporting to the Manager, Claims, we are adding a Bilingual Claims Examiner to our team. You will be a key player on the team, balancing a wide range of high volume, complex claims. Focusing on traditional insurance claims with the room to expand into other lines of business, you will spend your days reviewing, researching, verifying, approving, or denying claims. In addition, you will work closely with senior team members, the Manager, customers, and external contacts. 

Toronto, ON

Canadian Premier

<p><span style="font-weight: 400;">Our mission is to help families build secure tomorrows.&nbsp;&nbsp;</span></p> <p><span style="font-weight: 400;">Canadian Premier Life is a progressive company that&rsquo;s committed to creating a positive work environment for our people while offering the chance to build your career across a number of specialties. We&rsquo;re growing &ndash; and we want you to grow with us.&nbsp;</span><span style="font-weight: 400;">Coast-to-coast, for over 60 years, our focus has been to provide financial security to Canadians and their families in the face of uncertainties. Our insurance products are available through financial institutions, retailers, and other businesses, and we have over 2 million Canadian customers. An A-rated insurance company headquartered in Toronto, Ontario. We are a wholly owned and independently operated subsidiary of Securian Financial Group.&nbsp;<br /><br /></span><span style="font-weight: 400;">Everything we do here is driven by the genuine desire to make connections with our customers - listening, reflecting, responding.&nbsp;</span></p> https://canadianpremier.ca

keywords: who we are,who we need,what's in it for you,respond to inquiries by mail or phone,analyze,document,experience,ownership,communication skills

Mid Level

Overview: <p><strong>Who we are</strong></p> <p>For more than 60 years, Canadian Premier has been committed to providing financial security to Canadians and their families in the face of uncertainties. Canadian Premier offers group life, accident &amp; sickness, credit and creditor insurance solutions to a number of leading financial institutions, retailers and affinity groups, insuring over 2 million Canadians and families coast-to-coast. Canadian Premier is a wholly-owned subsidiary of Securian Financial Group.</p> <p>At Canadian Premier we know there&rsquo;s nothing more important than treating each other with respect, compassion, understanding, and dignity. Even though our family has grown over the years, we still maintain the entrepreneurial spirit that got us started. <a href="https://youtu.be/4smwYAVRZQA">Watch this video</a> to learn more about our core values and our Canadian Premier family.</p> <p><strong>Who we need&nbsp;&nbsp;</strong></p> <p>Reporting to the Manager, Claims, we are adding a Bilingual Claims Examiner to our team. You will be a key player on the team, balancing a wide range of high volume, complex claims. Focusing on traditional insurance claims with the room to expand into other lines of business, you will spend your days reviewing, researching, verifying, approving, or denying claims. In addition, you will work closely with senior team members, the Manager, customers, and external contacts.&nbsp;</p> <p><strong>What's in it for you</strong></p> <p><em><strong>Autonomy, camaraderie, career growth. </strong></em>This is a chance to work on a diverse range of claims as we offer many products to our customers. You will be fully onboarded and trained, be partnered with senior team members on your initial claims, and have ongoing support and mentorship. There is endless opportunity to learn the industry and grow within the team, moving up to a more senior role, including a Team Lead. Or exploring other areas of the company. The work we do can take an emotional toll; however, that has resulted in a close-knit team that pre-pandemic was renowned for hosting milestone celebrations with the best food.</p>
Responsibilities: <p><strong>What you will do</strong></p> <ul> <li><strong>Respond to inquiries by mail or phone. </strong>You will place and accept calls involving customers, physicians, lawyers, and investigators. You will respond to questions regarding claims, eligibility verification, and payments. You will review supportive documentation, benefit forms, and certificates.&nbsp;</li> <li><strong>Analyze. </strong>You will accurately examine traditional insurance claim files within the processing guidelines according to the certificate provisions; updating information; and document the claim file with written notations of the claim status and related payment information.</li> <li><strong>Document.</strong> You will prepare the policy decision for additional review if applicable. You will create detailed claim documentation, writing letters, and completing associated forms.&nbsp;</li> </ul>
Requirements: <p><strong>What you bring</strong></p> <ul> <li><strong>The experience. </strong>You have insurance claims experience working directly on claims. You have knowledge of insurance practices and principles as well as medical terminology. FLHC, FLMI, or ALHC designation is beneficial but not required.</li> <li><strong>The ownership.</strong> You hold yourself highly accountable for meeting your deliverables. You are analytical, detail-oriented, and have impeccable decision-making skills. You value the expertise of others and have the confidence to defend your choices. You can work autonomously in a fast-paced, deadline-oriented environment, balancing competing priorities. You are driven by the need to make the lives of others easier.</li> <li><strong>The communication skills. </strong>You have professional fluency in English and French with exceptional written and verbal skills. You can remain calm during times of stress, conflict, or emotionally heavy details. You are comfortable communicating by phone or email with customers, internal teams, lawyers, and other professionals.</li> </ul> <p>If you have 70% of the qualifications we are looking for and this sounds like a place you belong, we encourage you to express your interest. We can't promise it will be a fit, but we do promise to consider your experience. Apply now.</p> <p><em>Canadian Premier is committed to providing a barrier-free work environment in concert with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code. As such, Canadian Premier will provide reasonable accommodations available to applicants with disabilities upon request during the recruitment process. Please contact hr@canadianpremier.ca for accommodation requests.</em></p> <p>If interested, please email your resume and cover letter to <a href="http://hr@canadianpremier.ca/">hr@canadianpremier.ca</a>.</p>