Individual Claims Assessor

4 weeks ago


Montréal QC, Canada The Emerald Group Full time

As a Life and Health Claims Assessor, you will provide fair and balanced claims decisions within industry guidelines. Speed and quality claims decisions are essential using the appropriate amount of evidence necessary. Their product range includes Life, Critical Illness, Income Protection, TPD, Business Protection and Waiver of Premium.

  • Location: WFH
  • Category: Claims
  • Type: Permanent

Key duties (including, but not limited to):

  • Manage Individual Protection claims from initial notification through to final settlement on a daily basis within an agreed level of authority and within service standards
  • Communicate with members, clients, doctors, service providers, intermediaries, reinsurers and FOS as necessary
  • Contribute ideas for the continuous improvement of the claims business process to ensure innovative and forward thinking – constantly challenge the status quo
  • Work closely with other areas (for example Group Claim Assessors, Underwriting, Actuarial, Client Services) to develop a thorough understanding of the business and contribute to “best practice” overall
  • Minimum GCSE’s or equivalent
  • Degree or equivalent CII qualification (Desirable)
  • Experience of medical and financial claims assessment across a range of product lines
  • Good computer literacy, sound numerical and verbal literacy skills
  • Well-developed and effective communicator both verbally and in writing. Confident, resilient, organised, approachable and dependable
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