Claims Analyst

iA Financial Group; Vancouver; On-site; CAD 55,000 - 65,000; Full time

Job summary

iA Financial Group is seeking a Claims Adjudicator to manage a fluctuating caseload of disability, life, and health claims. The ideal candidate will have a degree in Health Sciences or Business Administration, at least 3 years of insurance experience, and advanced French skills. This hybrid role emphasizes exceptional customer service and relationship management, ensuring compliance with policies while fostering positive interactions with clients and stakeholders.

Benefits

Annual bonus eligibility

Qualifications

• At least 3 years of experience in the Insurance industry.
• Advanced level of French language skills required.

Responsibilities

• Adjudicate and manage disability, life, critical illness, and health claims.
• Ensure adherence to policies and develop relationships with claimants and brokers.
• Participate in meetings and present claims services.

Skills

Customer Service

Analytical Skills

Attention to Detail

Relationship Building

Multi-tasking

Education

Degree in Health Sciences or Business Administration

Job description

Other Possible Location(s): Toronto, Ontario

Domain: Claims and administration (Life Insurance)

Mode: Hybrid

Type: Permanent, full-time

Language: French and English

Are you someone who is passionate about providing exceptional customer service, has a great sense of collaboration, and is attentive to detail?

Reporting to the Claims Manager in the Special Markets division, you will adjudicate and manage a fluctuating caseload of new and ongoing disability, life, critical illness, and health claims. You will assess claims and make challenging decisions by following policy guidelines, which clients may challenge, while maintaining excellent relationships with Claimants, TPA/Brokers, and other Stakeholders.

In this role, you will be responsible for:

1. Making adjudications of claims and ensuring adherence to policies.
2. Fostering a culture of openness and flexibility with TPA’s and brokers while ensuring compliance with privacy regulations.
3. Developing and maintaining positive and effective business relationships with claimants, brokers, and group policyholders.
4. Participating in meetings to discuss claims services and practices, and engaging in presentations by internal teams or external organizations.
5. Adjudicating complex and/or contentious AD&D, Life, Disability, CI claims, including waiver of premium claims.
6. Reviewing proposed amendments and updates to claims or policy forms and providing opinions on their acceptability and adequacy.
7. Reviewing claims with Medical Consultants.

What we are looking for:

1. Degree in Health Sciences, Business Administration, or equivalent education and experience.
2. At least 3 years of experience in the Insurance industry.
3. Knowledge of group life, health, accident, and sickness plans, and understanding of Third Party Administrators and Payors.
4. Strong desire to provide superior customer service and relationship-building skills.
5. Strong analytical skills with high attention to detail.
6. Ability to remain calm under pressure when making quick payments.
7. Ability to multi-task and prioritize effectively.
8. Advanced level of French language skills, as the role involves auditing, reviewing claims in French, and communicating with French-speaking clients and colleagues daily.

Compensation:

The typical hiring range for this position is between $55,000 and $65,000. The offered salary depends on location, skills, experience, and internal equity. All permanent iA employees are eligible for an annual bonus.

At iA, we are committed to a fair, market-based compensation structure, updated annually to reflect current market conditions.

Invest in your talent by joining our team

Discover why so many choose iA!

Company Overview

iA Financial Group, with over 10,000 employees, has earned the trust of more than five million clients and 50,000 advisors for insurance, savings, and wealth management services.

With over $235 billion in assets, we are a key player in the financial services industry in Canada and the US. Our success stems from investing in our people and industry leaders, fostering innovation for over 130 years.

Our commitment to Diversity and Inclusion

We support and celebrate diversity, striving to create an inclusive workplace for all, regardless of background or ability.

If you need assistance during the recruitment process to ensure accessibility, please contact us. We are happy to help.