Life & Disability Claims Examiner

First Canadian Financial Group; Sherwood Park; Hybrid; CAD 50,000 - 65,000; Full time

Job summary

A national organization is seeking a Life & Disability Claims Examiner in Alberta. This client-facing role involves adjudicating creditor claims and providing exceptional customer service in both English and French. The ideal candidate will have experience in insurance or claims examination and be committed to continuous improvement and professional development.

Benefits

Earned Time-Off Program

Group Retirement Savings Plan

On-site gym

Educational assistance

Health and Wellness spending account

Qualifications

• Minimum 1-year experience in Insurance/Claim Examination/Medical/Legal preferred.
• Medical terminology training or experience is an asset.

Responsibilities

• Gather and analyze information related to claims.
• Serve as primary contact for claimants, providing guidance.
• Stay updated on changes to policies and regulations.

Skills

Bilingualism

Customer Service

Communication

Education

University/Diploma/Certificate

Tools

Microsoft Office

Job description

Job Details

Description

First Canadian is a national organization and we are experiencing unprecedented growth!

We aim to hire bright, hard-working people who share our values. We seek employees who are committed to learning, career growth, and opportunity. We take pride in being an organization that our employees support long-term. We believe in our employees and celebrate their success by asking for employee opinions and feedback so that we continue to be a Great Place to Work.

We Award Our Team With The Following

• An uplift of 5% is applied after the probationary period for qualified professional level French bilingualism (both spoken and written).
• Off work 1 hour early on Fridays.
• Earned Time-Off Program and vacation.
• Group Retirement Savings Plan with employer match.
• A hybrid work model is available upon successful completion of probation.
• On-site gym including free weekly classes with a qualified trainer.
• Newly renovated facility with ergonomic desks/chairs.
• Educational assistance and career development.
• Employee benefits.
• Health and Wellness spending account.
• Employee Assistance Program (EAP).
• Employee discount programs.
• A Culture Team dedicated to diversity, inclusion, and employee programs.
• Employee recognition and appreciation events.
  
  

Check out our company page for all the information on why we believe First Canadian is an employer of choice!

If you are motivated to succeed by helping people, then this is the opportunity for you!

Under the direction of the Manager, Group & Creditor Life and Disability Claims - Alberta the Life & Disability Claims Examiner - Alberta is a client-facing position responsible for adjudicating creditor claims via telephone and email.

The hours of work for this role are 8:00am to 5:00pm Monday through Thursday and 8:00am to 4:00pm on Fridays.

Essential Responsibilities

• Claim Development and Adjudication:
• Gather and analyze all relevant information related to claims, including documentation from claimants, employers, medical practitioners, healthcare agencies, pharmacies, and financial institutions.
• Liaise with external parties, such as medical professionals and financial institutions, to facilitate claim resolution.
• Maintain accurate and organized records of all claims and interactions in compliance with company policies and legal requirements.
• Verify the completeness and accuracy of submitted claims and assess them based on the terms and conditions of the coverage.
• Make sound adjudication decisions in compliance with company standards and regulatory guidelines.
• Client Communication and Support:
• Serve as the primary point of contact for claimants, providing guidance on the claims process and required documentation.
• Deliver exceptional customer service through clear, empathetic, and professional communication in both English and French.
• Handle inquiries and concerns from clients, ensuring prompt and effective resolution.
• Continuous Improvement:
• Stay updated on changes to policies, regulations, and industry best practices.
• Participate in ongoing training and development to enhance technical knowledge and skills.
• Other duties as required.
  

Qualifications

• A minimum of 1-year experience in any of the following: Insurance / Claim Examination / Medical / Legal is preferred.
• Medical terminology training or experience in the medical field is an asset; candidates without this experience will be required to successfully complete Medical terminology training within a specified time period upon commencement of employment.
• University/Diploma/Certificate preferred or other academic is required.
• Professional experience equivalencies may be considered.
• Intermediate skills with Microsoft Office (Word/Excel) is required.
• Fluent in both English and French with proven skills in verbal and written communication is required.
• Successful completion of employment, criminal, education background checks including employer reference and verification before employment is required.
  
  

Thank you for considering our organization.

If you are bilingual there will be a French and English assessment as a part of the recruitment process.

We are an equal opportunities employer and welcome applications from all suitably qualified persons. Accommodations are available upon request.