Our client is currently looking for BILINGUAL Disability Claims Analysts to handle a number of benefit claims for LIFE and CRITICAL ILLNESS.
JOB RESPONSIBILITIES
- Analyzes all information relevant to determining obligations : contract provisions, medical proof, non-medical factors, government programs, legislation, internal policies and procedures.
- Makes appropriate and careful selection and use of internal and external interventions : cases referred to our consulting physicians, the supervisor, and a medical expert.
- Provides customer service on files assigned to him / her by answering calls from all parties involved in the files.
- Interacts with the relevant computer systems to update data and make payments, when applicable, taking contract details and internal directives into account.
- Occasionally participates in meetings with policyholders for a critical review of files.
- Recommends measures destined to improve the sector’s service and productivity performance.
- Proactively acquires and improves knowledge of tools, policies, processes, products, and services.
- Carries out certain technical and administrative tasks to support file management.
QUALIFICATION REQUIREMENTS
- One year of experience in LIFE, CRITICAL ILLNESS, STD / LTD disability is an ASSET.
- BILINGUAL ENGLISH / FRENCH Strong verbal and written communications skills is a must.
Job Title : Bilingual Disability Case Manager