Claims Care Analyst assessing life, disability, and critical illness claims for Securian Canada. Reviewing medical and contractual information while supporting Canadian clients empathetically.
Responsibilities
Assess claims for benefit entitlement by reviewing contractual, medical, functional, and occupational documentation according to established routines and certificate provisions
Manage an active caseload in compliance with client service standards, best-practice guidelines, KPIs, and turnaround times
Document claim analysis thoroughly and maintain accurate records according to company policies and procedures
Communicate professionally and empathetically with stakeholders in writing and verbally to provide updates, clarify claim status, and explain decisions
Conduct detailed phone interviews with clients or involved parties to gather information and discuss claim outcomes
Identify supporting documents required for current and future benefit payments and follow up to obtain necessary information
Collaborate with team members, plan sponsors, and other stakeholders to uphold service standards
Participate in departmental projects and continuous improvement initiatives
Identify process optimization opportunities and adapt to changes
Perform other related duties as assigned
Requirements
Post-secondary education or equivalent work experience
Minimum of 1 year experience in insurance claims processing, particularly in life, disability, and critical illness insurance
Strong analytical and problem-solving skills
Meticulous attention to detail and commitment to high-quality service
Strong proficiency in English for communication with customers and colleagues
Strong proficiency in French for communication with customers and/or colleagues in Quebec
Ability to conduct sensitive phone interviews and convey decisions tactfully
Proficiency in Microsoft Office suite, including Word and Outlook
Proficiency in case management software
Ability to multitask and prioritize effectively while meeting diverse deadlines
Professionalism under pressure and ability to manage stressful situations and deliver difficult news empathetically
Positive attitude, strong team spirit, and adaptability to organizational changes
College diploma (DEC) in a relevant field is preferred
Professional designations such as FLHC, FLMI, or ALHC are considered assets
Medical knowledge obtained through claims assessment, underwriting, or medical/paramedical experience is an asset
Benefits
Flexible work arrangements with monthly financial allocations to support work-life balance
Generous starting paid vacation time, plus additional vacation days for every year of service
Paid volunteer day
Paid personal and wellness days
Educational assistance of up to $3,500 a year, with manager approval
Flexible health and wellness account
Comprehensive drug and dental coverage
Up to 14% of combined contributions to the RRSP matching program
Family-friendly maternity/parental leave
Diversity, equity, and inclusion commitment
Reasonable workplace accommodations for qualified applicants
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