Insurance Claims Processor - Remote

Overview

This role involves processing life and health insurance claims, promoting occupational health, and managing disabilities.

In Short

• Provide discipline-specific technical support to help your unit carry out its activities, initiatives, and processes in accordance with established policies and procedures.
• Support more experienced employees and assist with technical work and analysis involving processes, information management, and data processing.
• Process claims in accordance with the contractual clauses of the insurance policy.
• Escalate more complex claims to another processing level, if applicable.
• Establish the benefit amount, determine the payable period, proceed with payment, and carry out necessary follow-up.
• Assist insureds with the CPP or QPP application process.
• Calculate and explain deductions and negotiate reimbursements if necessary.
• Communicate with partners, professionals, and clients to obtain and provide information, justifications, and interpretations.
• Communicate with claims management offices across the country.

Requirements

• College diploma in a related field.
• Minimum of one year of relevant experience.
• Knowledge of French is required.
• Advanced proficiency in English due to the nature of the duties or work tools.

Benefits

• Competitive salary and annual bonus.
• 4 weeks of flexible vacation starting in the first year.
• Defined benefit pension plan that provides predictable, stable income throughout retirement.
• Group insurance including telemedicine.
• Reimbursement of health and wellness expenses and telework equipment.