Bilingual Claims Care Representative

Securian Canada; Toronto; Hybrid; CAD 45,000 - 55,000; Full time

Benefits offered by this job

Flexible work arrangements

Generous starting paid vacation time

Volunteer day

Personal and wellness days

Educational assistance up to $3,500

Health and wellness account

RRSP matching up to 14%

Family-friendly maternity/parental le

Job summary

Securian Canada in Toronto is seeking a Bilingual Claims Care Representative to join our Claims team on a permanent full-time hybrid basis. You will perform the initial claim review for your line of business, ensuring alignment with KPIs, TATs, and policy provisions.

We value strong English and French communication, attention to detail, and the ability to manage tasks under deadlines. The base salary ranges from $45,000 to $55,000 with a comprehensive benefits program and hybrid work

Qualifications

• Post-Secondary Education preferred or equivalent work experience.
• Strong English and French communication due to interaction with English- and French-speaking customers and colleagues.
• Ability to perform tasks within deadlines with strong attention to detail.

Responsibilities

• Effectively manages case/claims assignments and responds to inquiries from claimants regarding claim status.
• Manages the initial stages of screening claims.
• Applies an excellent understanding of certificate and policy provisions.
• Sets-up claims, verifies policyholder information and eligibility, and ensures forms are delivered.
• Communicates with claimants, partners, sponsors, and physicians, verbally or in writing.
• Ensures compliance with QA requirements and privacy/security practices.
• Performs other duties as assigned.

Skills

Bilingual English/French

Attention to detail

Time management

Customer service

Decision making

Education

Post-Secondary Education or equivalent

Job description

Bilingual Claims Care Representative

Department: Claims

Employment Type: Permanent - Full Time

Location: Toronto, ON

Description

What we do every day to be our very best

Every day at Securian Canada means a day spent helping Canadians and their families build secure tomorrows. We’re agile and innovative, and we aren't afraid to challenge and create, or bring diverse perspectives to our work.

Who we need

As a Claims Care Representative, you are responsible for conducting the initial claim review for your assigned line of business, ensuring all activities are carried out in alignment with established KPIs, turnaround times (TAT), and applicable certificate and policy provisions.

This is a hybrid position, with the team currently working from our Toronto office approximately once a month.

The expected base salary range for this role is between $45,000 and $55,000 depending on experience. Additional information regarding our comprehensive benefits program can be found below. This opportunity is linked to a currently vacant position.

We use artificial intelligence tools in our recruitment process to help with application review and improve the efficiency of our assessments. These tools are used responsibly and do not replace human decision-making, as we continue to manually review all applications.

What you will do

• Effectively manages case/claims assignments and responds to inquiries from claimants regarding claim status and/or requests for claim forms.
• Manages the initial stages of screening claims.
• Applies an excellent understanding of certificate and policy provisions.
• Sets-up claims, including verifying policyholder information, policy effective date, premium status, and verification of claim eligibility and including ensuring appropriate claim forms are delivered to claimant.
• Communicates with key stakeholders including claimant, business partners, plan sponsors, physician, employers, verbally and/or in writing. Handles a variety of inquiries varying in complexity.
• Ensures compliance with Quality Assurance requirements and procedures
• Maintains compliance all KPI’s, standards, controls, policies, and practices as an active participant in the Company’s Information Privacy and Security Program.
• Perform other duties as assigned.

What you will bring

• Post-Secondary Education preferred or equivalent work experience.
• This role requires strong English and French communication skills because it involves regular, direct interaction with English-speaking and French-speaking customers and colleagues.
• Ability to perform tasks simultaneously within deadlines.
• Strong attention to detail.
• Fundamental knowledge of computers and keyboarding skills.
• Strong communication skills (strong telephone and interpersonal skills).
• Ability to make decisions with resource guidance
• Strong commitment to quality of work
• Exceptional customer service.
• Knowledge of insurance practices and principles are assets.
• Knowledge of medical terminology, policy provisions, and provincial regulations are assets.
• FLHC, FLMI or ALHC designation are an asset.

Why join?

When you’re a part of Securian Canada, you’re a member of an agile and innovative, high-performing, bright-thinking, make-things-happen culture – so that together, we can discover the art of possible.

At our company, we see your potential on day one and challenge you to grow your unique strengths as you create a career filled with opportunity, collaboration, and purpose.

You’ll also be part of a team that’s committed to diversity, equity, and inclusion, and who values diverse perspectives, so that you can be the person you want to be – both in, and outside, work.

Securian Canada offers a competitive total rewards program with a variety of perks and benefits, including:

• Flexible work arrangements with monthly financial allocations to support your work-life balance;
• Generous starting paid vacation time, plus additional vacation days for every year of service;
• Paid volunteer day so you can dedicate time to a cause you are passionate about;
• Paid personal and wellness days to support your total wellbeing;
• Educational assistance of up to $3,500 a year (with approval from your manager);
• Flexible health and wellness account (in addition to comprehensive drug and dental coverage) to help pay for a wide range of wellbeing services that are meaningful to you;
• Up to 14% of combined contributions to the RRSP matching program;
• Family-friendly maternity/parental leave and,
• Many more benefits, perks and programs.

If you have at least 70% of the qualifications we're looking for, want to work in a fast-growing, leading and progressive company, and feel driven to help Canadians and their families build secure futures – we want to hear from you!

Securian Canada is committed to providing a barrier-free work environment and equal access to employment for all qualified applicants. As such, upon request, Securian Canada will work with applicants that require reasonable accommodations during the recruitment process. Please contact [e-mail] for accommodation requests. All information shared during any accommodation request process will be stored and used only in a manner that is consistent with applicable laws and Securian Canada/Canadian Premier Life Insurance Company policies.