Bilingual Claims Adjuster – Junior / Intermediate

January 23, 2017 by  
Filed under Jobs

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 [email protected]

 

Comments

Comments are closed.