Automotive technical specialist resolving vehicle arbitration claims for OPENLANE’s digital used - vehicle marketplace. Applying hands - on diagnostics, customer communication, and negotiation to settle disputes fairly.
About the role
- Bilingual Disability Claims Adjudicator managing disability claims for Canadian clients. Supporting superior customer service and adjudicating claims across policyholder and specialist communications.
Responsibilities
- Establish and maintain superior customer service to policyholders, agents, marketing centers
- Manage ongoing claims by requesting further medical, financial documentation or investigations
- Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements
- Make decisions on claim benefit eligibility determination and communicate decisions to stakeholders
- Document the claim file to ensure an accurate record of events that transpire in the claim handling
- Obtain proper file information and review with policy provisions to verify eligibility
- Accurately maintain claim records on system to ensure accuracy of reserve calculations
Requirements
- Fully bilingual (French/English)
- 2-3+ years’ experience in adjudicating claims, preferably disability.
- University degree in any discipline or equivalent work experience in the insurance industry is an asset.
- Excellent interpersonal skills with good oral and written communication skills
- Good working knowledge of medical conditions and terminology
- Experience in the interpretation and application of financial documentation and fair claims practices
- Ability to respond constructively and decisively in high pressure or emotional situations
- Working knowledge of government legislation and legal precedents, the Insurance Act and/or Quebec Civil Code is an asset.
- Good working knowledge of the underwriting process.
- Good analytical skills to evaluate conflicting information from various key sources to assess risk
Benefits
- health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage
- adoption/surrogacy and wellness benefits
- employee/family assistance plans
- various retirement savings plans including pension
- global share ownership plan with employer matching contributions
- financial education and counseling resources
- generous paid time off program including holidays, vacation, personal, and sick days
- full range of statutory leaves of absence
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