Senior Claims Analyst adjudicating individual disability and critical illness claims for Canada Life. Responsible for assessing claims and consulting with various stakeholders for decision making.
Responsibilities
Developing the claim file by assessing various factors (medical, finances, occupation) required to assess the disability
Reviewing all the information when received and arriving at a decision to either accept or deny the claim
Consulting with the Medical Board, accountant, legal counsel and peers
Communicating by letter, telephone and email with policyholders, doctors, agents and lawyers for the purpose of requesting information, explaining decisions and defending claim policies and guidelines
Requirements
Previous experience in a similar role requiring good judgement skills
Proven ability to manage multiple deadline driven tasks
Excellent time management skills
Proven analytical ability
Proven ability to make decisions independently
Proficiency in Microsoft Office (Word, Excel, Outlook, and Teams)
Strong customer service skills
Bilingualism is an asset (fluent in French and English)
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