Claims Consultant – Individual Life Claims (Bilingual)

Sun Life Québec; Montreal; Hybrid; CAD 56,000 - 93,000; Full time

Job summary

Join Sun Life Québec as a Claims Consultant where you will handle complex life insurance claims in a bilingual environment. This role offers the opportunity to mentor junior consultants and contribute to strategic claims initiatives while ensuring compassionate client service. With a focus on data-driven decision-making, you will play a pivotal role in supporting our clients during sensitive times.

Benefits

Access to short-term assignments or ‘Gigs’

Charitable giving through You Give, We Give program

Care Days for self-care

Qualifications

• Bilingual in English and French is required.
• Proven adjudication authority in life insurance claims.
• Exceptional attention to detail and strong organizational skills.

Responsibilities

• Review and process complex life insurance claims.
• Communicate effectively with beneficiaries regarding claim requirements.
• Mentoring junior claims consultants.

Skills

Analytical skills

Communication skills

Problem-solving skills

Education

5+ years of experience in life insurance claims processing

Job description

Claims Consultant – Individual Life Claims (Bilingual)

Join to apply for the Claims Consultant – Individual Life Claims (Bilingual) role at Sun Life Québec

Claims Consultant – Individual Life Claims (Bilingual)

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Join to apply for the Claims Consultant – Individual Life Claims (Bilingual) role at Sun Life Québec

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You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description :

We are seeking a highly skilled, bilingual, and empathetic Claims Consultant to join our Life Claims department. The ideal candidate will be a self-starter with proven adjudication authority and a data-driven approach. This role combines claims processing expertise with mentorship responsibilities and involvement in ongoing claims initiatives.

Key Responsibilities :

• Review and process complex life insurance claims, leveraging your adjudication authority to make informed decisions
• Communicate effectively in both English and [specify second language] with beneficiaries, policy holders, and other stakeholders regarding claim status and requirements
• Analyze policy documents, death certificates, and other relevant information to determine claim validity, using data-driven methodologies
• Calculate benefit amounts and prepare claim payments, ensuring accuracy and compliance with regulations
• Identify and investigate potential fraudulent claims, applying analytical skills and industry knowledge
• Maintain meticulous claim files and records, contributing to the department's data integrity
• Collaborate with cross-functional teams to resolve complex claim issues and support ongoing claims initiatives
• Stay current with industry regulations and company policies, proactively adapting to changes
• Provide compassionate, bilingual customer service to beneficiaries during sensitive times
• Mentor junior claims consultants, fostering their professional development and enhancing team performance
• Contribute to the development and implementation of claims initiatives, leveraging your expertise to drive innovation

Qualifications :

• 5+ years of experience in life insurance claims processing or related field
• Proven adjudication authority in life insurance claims
• Strong knowledge of life insurance policies and industry regulations
• Excellent analytical and problem-solving skills with a data-driven mindset
• Superior verbal and written communication skills in English and French
• Demonstrated ability to handle sensitive information with discretion and confidentiality
• Exceptional attention to detail and strong organizational skills
• Proven ability to work independently and lead team initiatives
• Empathetic and patient demeanor when dealing with beneficiaries
• Track record of mentoring junior staff and contributing to team development
• Bilingualism (French, English, both oral and written) is required to answer calls from English and French speaking clients across Canada and worldwide.

Preferred Qualifications :

• Life Insurance Claims Associate (LICA) certification
• Experience with underwriting or actuarial work
• Additional language skills beyond the required bilingual proficiency
• Experience in implementing or managing claims process improvements

What’s in it for you?

• We’re proud to be recognized as a company with a 2024 Most Trusted Executive team by Great Place to Work Canada
• Access to short-term assignments or ‘Gigs’ across the organization, to help you develop new skills and connections.
• A collaborative and interactive team environment
• Charitable giving through our You Give, We Give program lets you give back to your community – and in many cases, we’ll match your contributions.
• Care Days available for self-care or care of others (i.e., family or others you may support) and Sick Days to support your well-being.

This role offers a unique opportunity to combine your claims expertise with leadership responsibilities. You'll play a crucial role in shaping the department's future through mentorship and involvement in strategic initiatives.

The Base Pay range is for the primary location for which the job is posted. It may vary depending on the work location of the successful candidate or other factors. In addition to Base Pay, eligible Sun Life employees participate in various incentive plans, payment under which is discretionary and subject to individual and company performance. Certain sales focused roles have sales incentive plans based on individual or group sales results.

Diversity and inclusion have always been at the core of our values at Sun Life. A diverse workforce with wide perspectives and creative ideas benefits our Clients, the communities where we operate and all of us as colleagues. We welcome applications from qualified individuals from all backgrounds.

Persons with disabilities who need accommodation in the application process, or those needing job postings in an alternative format, may e-mail a request to [emailprotected] .

We are proud to be a hybrid organization that offers our employees the choice and flexibility to work from both the office and virtually based on the needs of the business, our Clients and you! Several work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.

Salary Range :

56,000 / 56 000 - 93,000 / 93 000

Job Category :

Claims - Life & Disability

Posting End Date : 17 / 06 / 2025

Seniority level

Seniority level

Not Applicable

Employment type

Employment type

Full-time

Job function

Job function

Finance and Sales

Financial Services and Insurance

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Bilingual Consultant • Montreal, Montreal (administrative region), Canada