Bilingual Claims Adjuster – Junior / Intermediate

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]