Claims Examiner Reinsurance (12 Month contract)

Canada Life; Regina; On-site; CAD 45,000 - 75,000; Full time

Job summary

An established industry player is seeking a Claims Examiner I to provide essential claim administration services for Life Reinsurance and Health business. This role involves adjudicating life claims, maintaining claim records, and ensuring compliance with treaty provisions. The ideal candidate will have a strong background in claims adjudication, excellent organizational skills, and the ability to work in a fast-paced environment. Join a diverse and inclusive workplace where your contributions will help improve the well-being of Canadians, and enjoy opportunities for career growth and development.

Qualifications

• Experience adjudicating claims is essential.
• Ability to identify and manage shifting priorities.

Responsibilities

• Adjudicate and approve life and disability insurance claims.
• Ensure compliance with treaty provisions and investigate discrepancies.

Skills

Organizational Skills

Time Management

Analytical Skills

Communication Skills

Problem Solving

Attention to Detail

Education

Post-secondary degree or equivalent

Tools

Microsoft Office

Job description

Temporary Full Time

As a Claims Examiner I, you will provide claim administration services for Life Reinsurance, Retrocession, and Health (DI/Waiver) business. The role includes adjudication of life claims, creating and maintaining claim system records, and assistance with training and reporting in a team environment. The Examiner will ensure all claims to be approved are in accordance with the treaty provisions and only legitimate claims are set up to be paid.

What You Will Do

• Adjudicate/Approve US$ and CAN$ Life, Accidental Death Benefit (ADB), Waiver and Disability Insurance (DI) claims
• Within an assigned group of client companies, set up new claims and process payments within the source system.
• Ensure the correct proofs of claim are received; review other claims for the same insured; confirm the policy premiums are paid through date of claim; review treaty wording for compliance (i.e., pool percentage, jumbo limits, auto bind, and retention limits); identify any claim issues and ensure material discrepancies are investigated, validated and/or resolved prior to payment.
• Ensure internal process and procedures are adhered to.
• Identify fraudulent claims.
• Recognize and recommend process improvements.
• Assist with research and reporting.

What You Will Bring

• Post-secondary degree or equivalent with experience adjudicating claims
• Strong organizational and time management skills including the ability to identify and manage shifting priorities to meet time standards.
• A team player who can independently work in fast paced environment with a high degree of accuracy and attention to detail.
• Proven ability to create and maintain customer relationships.
• Basic understanding and ability to review and interpret contract wording.
• Basic understanding of the direct, reinsurance and retrocession processes and how they relate to each other.
• Proven analytical, critical thinking, problem solving and decision-making skills. Able to consider data, identify anomalies and use information to develop action plans.
• Working knowledge of Microsoft Office products.
• Strong verbal and written communication skills.
• Knowledge of medical aspects: including anatomy, physiology, and medical terminology as they apply to the claim review process would be an asset.
• Knowledge of underwriting principals would be an asset.
• Industry related courses (ICA/LOMA/ALU) would be an asset.

The base salary for this position is between $minimum - $ maximum annually. This represents base salary only and does not represent other variable compensation components of our total compensation (i.e. annual bonus, commission etc). If you are selected to move forward in our recruitment process, your recruiter will be able to discuss additional details of our total rewards program with you.

Career opportunities will be open a minimum of 5 business days from the date of posting, closing dates will vary depending on the search activity. All applications received will be reviewed on a rolling basis.

Be your best at Canada Life- Apply today!

Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success.

You can be your best here. You’re part of a diverse and inclusive workplace where your career and well-being are championed. You’ll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences.

Together, as part of a great team, you’ll deliver on our shared purpose to improve the well-being of Canadians. It’s our driving force. Become part of a strong and successful company that’s trusted by millions of Canadians to do the right thing.

Canada Life serves the financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we’re one of Canada’s leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations.

We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Canada Life policies. To request a reasonable accommodation in the application process, contact [e-mail].

Canada Life would like to thank all applicants, however only those who qualify for an interview will be contacted.