Claims Analyst

TIH; Toronto; On-site; CAD 60,000 - 90,000; Full time

Job summary

A forward-thinking company is seeking a Claims Analyst to join their dynamic team. In this pivotal role, you will investigate and evaluate claims related to life, disability, and job loss, ensuring accurate and timely decisions. Your strong analytical skills and ability to communicate effectively will be essential as you collaborate with management and clients. This position offers the chance to work in a supportive environment that values diversity and provides comprehensive benefits. If you are passionate about making a difference in the insurance industry, this opportunity is for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Savings Plans

Paid Time Off

Stock Options

Deferred Compensation

Qualifications

• 5+ years in claims administration in life insurance.
• Bilingual in French and English is required.

Responsibilities

• Investigate and evaluate eligibility of claims based on various factors.
• Communicate decisions to management and clients promptly.

Skills

Communication Skills

Analytical Skills

Problem-Solving Skills

Interpersonal Skills

Microsoft Office Word

Education

5 years’ experience in claims administration

LOMA Levels 1 and 2

Job description

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Job Details

• Type: Regular
• Language Fluency: English (Required)
• Work Shift: 1st Shift (Canada)

Job Description

Reporting to the Director, Insurance Solutions, you will investigate and evaluate the eligibility of life, disability, and job loss claims.

Key Responsibilities

• Ensure accurate and timely investigation, evaluation, and eligibility determination of claims based on medical info, job requirements, non-medical factors, and policy terms within established standards.
• Communicate decisions and recommendations to management and clients.
• Document all communication with customers accurately and promptly.
• Collaborate with management to exchange ideas, gather information, and solve issues related to claims.
• Proactively communicate with policyholders regarding claim status and updates.

Education and Experience

• At least 5 years’ experience in claims administration in the life insurance industry (required).
• Fluently bilingual in French and English (required).
• Experience dealing with medical professionals (required).
• Prior experience with creditor insurance products (preferred).
• Completion of LOMA Levels 1 and 2 (preferred).

Skills

• Excellent communication, interpersonal, and collaboration skills.
• Strong analytical, problem-solving, and decision-making abilities.
• Ability to interact at all levels and prioritize tasks.
• Proficiency in Microsoft Office Word.
• Willingness to pursue industry courses.

Benefits

Eligible employees working 20+ hours/week are eligible for benefits including medical, dental, vision, life insurance, disability, savings plans, and paid time off. Additional benefits may include stock options or deferred compensation, depending on the division.

Equal Opportunity Statement

CRC supports a diverse workforce and is an Equal Opportunity Employer. We do not discriminate based on race, gender, age, disability, or other protected classes. CRC is a Drug-Free Workplace.