Bilingual (French) Claims Administrator

The Independent Order of Foresters - Canada; Toronto; Vor Ort; CAD 50.000 - 70.000; Vollzeit

Zusammenfassung

Foresters Financial Services, Inc. is seeking a Bilingual Claims Administrator in Canada to deliver exceptional customer service and handle administrative duties for death and living benefit claims. The role requires flawless bilingual communication in English plus French or Spanish, both written and spoken.

You will handle inbound calls, assess caller needs, and guide claims through the process with accuracy and timeliness while maintaining compliance and quality standards.

Qualifikationen

• Post secondary diploma or equivalent experience.
• 3–5 years of customer service experience is an asset.
• Must be fully bilingual (French & English or Spanish & English) in written and oral communication.
• Proficient in Word and Excel; strong keyboarding skills.

Aufgaben

• Answer inbound calls from claimants, members, producers, and others; phone support required.
• Provide courteous, prompt and accurate service for death or living benefits claims.
• Identify caller needs and deliver timely, accurate resolutions to avoid delays.
• Manage claims notification, maintain claims register, and follow up on outstanding requirements.
• Process administrative transactions and prepare claims for adjudication; use back office systems.

Kenntnisse

Bilingual English/French

Bilingual English/Spanish

Customer service

Time management

Keyboarding

Ausbildung

Post-secondary diploma

1 year related experience

LOMA 281/291 (asset)

Tools

Word

Excel

Jobbeschreibung

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 in initiating claims, accurately answering claims inquiries and provide administration support to our Claimants and Adjudicators. The Bilingual Claims Administrator must be fully bilingual in both French and English or Spanish and English (depending on the language requirements for the role) in their written and oral communication.

Job Description Key Responsibilities

• Answer inbound new and status related claims calls from claimants, members, producers, funeral homes and others. Phone support required and scheduled
• Provide courteous, prompt and accurate service to our claimants making a claim to report death or a living benefits claim
• Proficiently determine the needs of the caller then provide accurate and timely resolution. This includes reviewing and ensuring all necessary requirements are met to avoid delays in the claims process
• Manage the claim notification process: including transacting various systems and maintaining the claims register, sending out claim requirements and regular ongoing follow up for outstanding requirements
• Process administrative transactions and ensure claim is set up accurately for Adjudication review. This requires proficiently understanding various back office systems and processing necessary transactions for a claim.
• Manage our claims general email inbox daily
• Display high energy, passion and a positive attitude
• Meet tight timelines under pressure while delivering quality service
• Own the results, share work experiences and willingly seek and accept personal accountability
• Continuously learn about customers, their priorities and their expectations
• Take ownership and responsibility for resolving customer concerns with every interaction
• Be flexible, personally embrace change and commit to continuous learning
• Support the organization’s and the Claims Team’s key priorities
• Demonstrate leadership, model customer service values and drive quality and process optimization
• Manages business needs through entry level project and analysis work while assigning a high priority to customer excellence, quality and meeting service level agreements
• Communicate verbal and written information as appropriate to those with a need to know, ensuring information is clear, accurate and compliant with all legal, privacy, confidentiality and company standards
• Perform all required calculations and ensure all activities are in compliance with internal compliance standards
• Assist other team members to ensure that the team meets objectives
• Create ad hoc correspondence and reports for members, producers and external partners
• Receive, verify and match claims benefit cheques to be mailed to claimants
• Meet service level agreements and achieve productivity and quality standards
• Deal with customer complaints defined in company guidelines
• Meet privacy and compliance guidelines

Key Qualifications

• Education (minimum required): Post secondary diploma in a related field or equivalent experience
• Experience (minimum required): 3-5 years of customer service experience with a passion for service excellence is an asset
• Must be fully bilingual (French & English or Spanish & English) in written and oral communication.
• Self-starter with demonstrated ability to prioritize own work and ability to research/problem solve and make decisions both independently and collaboratively within a fast-paced team environment
• Accurate keyboarding skills with good working knowledge of Word and Excel
• Must be proficient in both verbal and written communication to effectively communicate with internal and external customers/partners and vendors
• Understanding of insurance products, services, systems and regulatory requirements, with the ability to recognize discrepancies, anomalies and inconsistencies
• Results-oriented with emphasis on accuracy and attention to detail and the ability to understand and balance both the short and long-term impact of decisions and actions
• Effective multi-tasking and time management skills, including the ability to adapt to changing demands and priorities
• Strong organization skills to effectively monitor and track information with quick ability to learn and leverage new technologies
• Strong reasoning and judgment to balance commitments, financial soundness and quality customer focus
• Creative problem-solving skills to resolve transactions and has an interest in research and problem solving
• Mathematical skills needed for calculation of benefits, taxation and reinsurance
• LOMA 281 and 291 courses an asset
• Post-secondary education preferred and/or related work experience (minimum 1 year work experience)

Salary Range: $50,000 - $70,000 The role requires flexibility with working hours between 9:00 a.m. and 6:00 p.m., Monday to Friday on a rotational basis Flexibility for periodic weekend shifts and statutory holidays may also be required to support changing conditions, customer demand, and business needs. The actual base salary for this position will depend on several factors, including job-related skills, experience, and education. In addition to base pay, eligible employees may participate in a discretionary variable incentive plan, results are subject to both individual and company performance.

Equal Opportunity Employment and Inclusion – at Foresters Financial, we are committed to sustaining an equal opportunity environment for all job applicants. We embrace Inclusion, Diversity and Equity (IDE) as a core strategic objective for building strong, innovative teams in which all our employees can show up wholly and authentically as themselves. Foresters Financial strives to provide an accessible candidate experience for prospective employees with different abilities. If you anticipate needing any type of accommodations during the recruitment process, please email [e-mail] in advance of your appointment.

Thank you for choosing Foresters. Only those candidates who will be selected for further consideration will be contacted by our Talent Acquisition Team.

About Foresters Financial

Foresters Financial™ is an international financial services provider with a unique history that began in 1874 when we set out to provide access to life insurance for average, working families. More than 150 years later, we provide life insurance, savings, retirement and investment solutions that help families achieve long-term financial health and security.