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23 Jan
2017
Full-Time Bilingual Life, Accident and Health Claims Adjuster
Job Description
Bilingual Claims Adjuster – Junior / Intermediate $45,000 + Benefits, Vacation
Comma Recruitment are looking for a Life, Accident and Health claims adjuster who is perfectly bilingual in French and English, full training provided and salary dependent upon previous claims experience.
PRIMARY DUTIES
- Adjudicate incoming Life, Accident and Health claims
- Approve, deny, or inquire further for necessary information from claimants, doctors, or hospital to assess claimant’s eligibility for benefits.
- Interprets and administers policy provisions including eligibility and investigations.
- Review incoming correspondence concerning existing claims.
- Refer files for special investigation, if required.
- Discuss and explain benefit payments to claimants by telephone.
- Document claim file actions and telephone conversations appropriately.
- Review claims on diary and send follow up reminders in a timely manner.
- Refer activity outside of authority level to Senior Adjusters/Assistant Manager, Claims.
QUALIFICATIONS REQUIRED
- Bilingual (Fluent in French and English);
- Experience in a Claims department, ideally with experience handling insurance claims from start to settlement
- Good communication skills, both verbal and written;
- Aptitude for figures;
- Possess a logical mind and an understanding of the insurance industry;
- Knowledge of medical terminology;
- Very good computer skills;
- Ability to make sound judgments and good decision-making skills;
- Strong cross-functional team skills with the ability to work independently;
- Previous disability management experience, assessing disability claims would be an asset; and
- Previous knowledge of disability products would be an asset.
Please forward a resume to info@commarecruitment.ca
How to Apply
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