Full-Time BILINGUAL DISABILITY CLAIMS ADJUDICATOR
Job Description
- Work from Home *
Our client, one of Waterloo Region’s Top Employers for 2019 provides personalized service and support to their plan sponsors and plan members. They deliver creative solutions as they help their staff in their recovery and return to work from an injury or illness.
They are looking for a polished communicator who can develop creative solutions to complex problems, someone who is empathetic and has a natural service orientation, who is a collaborator that can work with others towards a common goal. If that’s you, why not explore a career as a Disability Claims Specialist.
Responsibilities:
· Analyze medical, functional, employment and contractual information in order to make timely and accurate decisions on LTD claims
· Continually manage open LTD claims using proficient problem solving and analytical skills and creating opportunities for timely resolution of the claim
· Calculate benefits payable and make adjustments as required throughout the course of the LTD claims. (i.e. offset for CPP Disability Benefits and calculating over-payments, etc.)
· Identify and implement cost effective case management tools to assist disabled employees (e.g. Rehabilitation Intervention, Functional Abilities Evaluations, Independent Medical Examinations, Medical Consultant Referrals)
· Provide superior written and verbal customer service with accuracy and maintain well-documented, clear and concise files
· Frequently communicate with plan sponsors, plan members, advisors, Group Marketing Managers, medical professionals, legal professionals
· Actively participate in client meetings
Your Experience:
· Bilingual in French and English, both spoken and written is required
· 2+ years’ STD and/or LTD claims management experience required
· University degree or College Diploma preferred in health related field (i.e. nursing, occupational therapy, kinesiology, etc.) or experience adjudicating disability claims
· Thorough knowledge of insurance operations
· Proficient problem solving skills and thorough knowledge of insurance operations
· Complex knowledge of various group contracts helpful
· Computer literacy skills
· Effective negotiating and conflict management skills
· Excellent interpersonal and strong customer service skills
· Mathematical & analytical skills
How to Apply
Insurance Career Network is a recruitment firm focused exclusively on the insurance industry. Our relationships, knowledge and leading experience enable us to connect leading insurers, brokerage firm and independent adjusting firms with the most talented candidates for each role. Since 1991, we have been building and nurturing relationships and with over 13,000 registered candidates, we can tap into our highly technical experience for our clients. Our recruiters come directly from insurance related positions and bring a wealth of knowledge to each recruitment assignment. TO APPLY: Register and submit your resume to monica@insurancecareernet.com or call Monica for more information 416 703-5120 x201672 total views, 1 today
