Our client is a top financial institution with significant North American holdings. They have operations across most major verticals, including institutional & corporate, wealth management, private client, commercial banking, treasury, and retail banking.
Introduction: Prime Hires is seeking a skilled Claims Examiner – Administrative to join our client.
Contract Dates: 6 months
Pay Rate: TBD
Business Hours: Monday to Friday
Job Responsibilities:
- Gathers and formats data into regular and ad-hoc reports, and dashboards.
- Analyzes data and information to provide insights and recommendations.
- Acknowledges receipt of new claims and request outstanding information for new claims, incomplete claims and approved claims to support processing and monitor ongoing to ensure all information is received.
- Sets up new incoming claims in the appropriate system for reported claims as required based on the client need & product requirements and send out applicable acknowledgement letters.
- Advises POS for Agency claims when a death occurs to stop premium payments.
- Manages daily cheques for group claims by printing off cheque run information and distributing it to appropriate internal stakeholders.
- Scans identified claim files as part of front-end imaging.
- Provides business partners with monthly copy of the expense payment report.
- Answers incoming calls by policyholders, brokers, agents, beneficiaries, and claimants in an efficient and effective manner delivering the desired client experience by assisting with general questions and initiating claims forms for all products.
- Answers administrative questions from Group policyholders, insured’s, brokers, third part administrators and claimants.
Experience & Qualification Requirements:
- 2-3yrs relevant experience
- Knowledge of insurance products, contracts and benefit plans (all individual, disability and group products).
- Previous experience with Life and Critical Illness insurance a strong asset
- Previous customer call centre experience is preferred.
- Stakeholder management
- Professional demeanor and email etiquette
- Proficient in MS office
- Experience with claims management systems and/or Alias an asset
- Previous banking experience an asset
Personal Attributes:
- Multitasking
- Detail oriented
- Time management and experience working in high volumes
- Fast learner and independent worker
- Verbal & written communication skills
- Organization skills
- Collaboration & team skills
- Analytical and problem-solving skills
- ALL CANDIDATES MUST COMPLETE A CRIMINAL AND CREDIT CHECK AS PART OF THE APPLICATION PROCESS****
How to Apply: If you are a motivated professional looking to contribute to a leading team, please submit your resume outlining your qualifications and experience relevant to this role. Prime Hires & the clients we represent, value diversity and are committed to creating an inclusive workplace. We invite all qualified individuals to apply.
Prime Hires & the clients we represent are equal opportunity employers, committed to diversity and inclusion. Prime Hires is a certified diverse supplier and actively seeks to foster a representative and inclusive workforce. We welcome applications from all qualified individuals, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, Aboriginal status, or any other legally protected factors. We champion building a diverse and inclusive environment.