Bilingual Claims Case Manager / Adjuster

Bilingual Claims Case Manager / Adjuster

Comma Recruitment require a Bilingual Disability Claims Adjudicator – Adjudicate and manage short and long term disability claims.

Location: Toronto West and Mississauga

Main Accountabilities:

• Review claim forms, medical reports, investigation reports, contract provisions etc. and determine eligibility of claim
• Record inbound/outbound communication
• Provide written and verbal communication to claimants, clients, administrators, doctors, lawyers, other insurers, etc: re: claim inquiries and outcome
• Review claims with Medical Director and Legal Department as required
• Assess waiver of premium eligibility
• Develop and implement return to work strategies
• Interact and develop good relationship with several stakeholders to facilitate best results

Competencies:

• Min 1 year group claims experience
• Experience adjusting STD/LTD benefit claims
• Excellent written and verbal communication skills
• Bilingualism in French/English is required
• Excellent customer service
• Intermediate skills with Word and Excel
• Ability to multitask in a fast paced, performance driven environment
• Strong planning and organizing skills, with strong attention to detail
• Analytical thinker with proven problem solving skills
• Ability to adapt quickly and comfortably to change
• Good interpersonal skills
• Professional telephone etiquette
• Demonstrates a positive attitude and a desire to succeed
• Strong team player

Please forward resume to [email protected]