Bilingual Claims Adjuster – GTA East $45,000

Bilingual Claims Adjuster – Life, Accident and Health

Comma Recruitment are looking for a Junior / Intermediate Life, accident and Health disability claims adjuster, 1+ years experience in similar claims and must be bilingual in French and English

·         Adjudicate all lines of 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, but not limited to, 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 or Claims Manager where appropriate

QUALIFICATIONS REQUIRED

·         Completion of College diploma;

·         1-2 years of claims adjudication experience;

·         Bilingual (Fluent in French and English);

·         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;

·         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;

·         Previous knowledge of disability products would be an asset.

 

Please forward resume to [email protected]