Bilingual Claims Administrator

Foresters Financial; Toronto; Hybrid; CAD 40,000 - 70,000; Full time

Job summary

Ein etabliertes Unternehmen sucht einen engagierten Bilingual Claims Administrator, um hervorragenden Kundenservice zu bieten und administrative Aufgaben für Leistungsansprüche zu übernehmen. In dieser Rolle sind Sie verantwortlich für die Bearbeitung von Anrufen, die Unterstützung von Anspruchstellern und die Verwaltung von Ansprüchen. Wenn Sie leidenschaftlich daran interessiert sind, Kunden zu helfen und über ausgezeichnete Kommunikationsfähigkeiten verfügen, ist dies die perfekte Gelegenheit für Sie, in einem dynamischen und unterstützenden Umfeld zu arbeiten. Ihr Beitrag wird entscheidend sein, um die Erwartungen der Kunden zu übertreffen und die Qualität der Dienstleistungen zu gewährleisten.

Qualifications

• 3-5 Jahre Erfahrung im Kundenservice mit Leidenschaft für Servicequalität.
• Vollständige Bilingualität in Französisch und Englisch, Spanisch von Vorteil.

Responsibilities

• Bearbeitung von Anrufen zu neuen und laufenden Ansprüchen.
• Bereitstellung von exzellentem Kundenservice für Leistungsansprüche.

Skills

Kundenservice

Bilingualität (Französisch und Englisch)

Problemlösungsfähigkeiten

Multitasking

Mathematische Fähigkeiten

Education

Postsekundärdiplom oder gleichwertige Erfahrung

Tools

Microsoft Word

Microsoft Excel

Job description

Career Opportunity

Role Title: Bilingual Claims Administrator

Purpose of role: The Bilingual Claims Administrator is accountable for providing excellent customer service and performing administrative duties for Death and Living benefit claims. They are responsible for initiating claims, accurately answering claims inquiries, and providing administrative support to Claimants and Adjudicators. The Bilingual Claims Administrator must be fully bilingual in both French and English, in written and oral communication.

Job Description

Key Responsibilities:

1. Answer inbound calls related to new and ongoing claims from claimants, members, producers, funeral homes, and others. Phone support is required and scheduled.
2. Provide courteous, prompt, and accurate service to claimants reporting death or living benefits claims.
3. Determine the needs of the caller and provide accurate, timely resolutions, ensuring all requirements are met to avoid delays.
4. Manage the claim notification process, including system transactions, maintaining the claims register, and follow-up on outstanding requirements.
5. Process administrative transactions to ensure claims are accurately set up for Adjudication review, understanding various back-office systems.
6. Manage the claims general email inbox daily.
7. Display high energy, passion, and a positive attitude.
8. Meet tight timelines under pressure while delivering quality service.
9. Take ownership of results, share experiences, and accept personal accountability.
10. Continuously learn about customers, their priorities, and expectations.
11. Resolve customer concerns with ownership and responsibility.
12. Be flexible, embrace change, and commit to continuous learning.
13. Support organizational and team priorities.
14. Demonstrate leadership, model customer service values, and drive quality and process improvements.
15. Manage business needs through entry-level projects and analysis, prioritizing customer excellence and meeting service levels.
16. Communicate clearly and accurately, ensuring compliance with legal, privacy, confidentiality, and company standards.
17. Perform necessary calculations and ensure activities comply with internal standards.
18. Assist team members to meet objectives.
19. Create ad hoc reports and correspondence for members, producers, and partners.
20. Verify and match benefit cheques for mailing to claimants.
21. Meet service level agreements and standards.
22. Handle customer complaints as per company guidelines.
23. Adhere to privacy and compliance guidelines.

Key Qualifications:

• Post-secondary diploma or equivalent experience.
• 3-5 years of customer service experience, with a passion for service excellence.
• Full bilingual proficiency in French and English; Spanish is an asset.
• Self-starter with the ability to prioritize, research, problem-solve, and make decisions independently and in teams.
• Proficient in Word and Excel, with accurate keyboarding skills.
• Effective verbal and written communication skills.
• Understanding of insurance products, services, systems, and regulations.
• Results-oriented with attention to accuracy and detail.
• Strong multitasking and time management skills.
• Organizational skills to monitor and track information efficiently.
• Strong reasoning and judgment skills.
• Creative problem-solving skills and interest in research.
• Mathematical skills for benefits calculations.
• LOMA 281 and 291 courses are assets.
• Related work experience (minimum 1 year) preferred.

#LI-Hybrid

• Work hours: 9:00 a.m. to 5:00 p.m., Monday to Friday.
• Periodic weekend shifts and statutory holidays may be required.

Equal Opportunity Employment and Inclusion: Foresters Financial is committed to an inclusive environment. We welcome applicants with different abilities and provide accommodations during the recruitment process. Please email [e-mail] in advance if needed.

Thank you for considering Foresters. Only candidates selected for further consideration will be contacted.