Bilingual Claims Examiner I, Creditor Life and Disability

Co-operators is a leading Canadian financial services co-operative committed to sustainability and community support. They are seeking a Bilingual Claims Examiner I to process creditor claims, provide administrative support, and ensure accurate claim management while maintaining high integrity and client satisfaction.

Responsibilities

• For each new claim record determine the member’s coverage and the necessary claim records for each product
• For A claims, based on system parameters and department guidelines accept, pay and close a claim to its recovery date not exceeding 2 months of benefits
• For B claims, based on system parameters and departmental guidelines accept and pay a claim for 1 month prior to transferring the claim to a level I or level II examiner
• Requesting and reviewing supplementary medical information for total and permanently disabled claimants
• Identifying claims for re-assessment by a level II or level III claims examiner where total and permanently disability is in question
• Receiving and distributing incoming faxes and return mail according to department procedures
• Managing emails received through the Claims Centre email box
• Contacting the policyholder to obtain information necessary to confirm coverage

Skills

• Bilingualism in English and French is required
• Completed a post-secondary diploma with 6 – 12 months customer service experience
• Strict confidentiality with respect to client's medical history, financial status and other personal information
• Completion of LOMA 280 & 290 or ACS 100 preferred
• You have or are working towards a medical terminology course is an asset

Benefits

• Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.
• Work Model: Hybrid (2 days in office)

Company Overview