Claims Examiner Iii Reinsurance

1 week ago

Regina, Saskatchewan, Canada Canada Life Assurance Company Full time
Claims Examiner III Reinsurance

**Description: - Permanent Full Time- As a Claims Examiner III, you'll provide senior level adjudication of Reinsurance and Retrocession Individual Life and Health (DI & Waiver) claim decisions. Every day could look a little different as you perform a range of tasks to support the claim team by resolving client inquiries, performing ad hoc training, and assisting with projects and audits. You will also ensure legitimate claims are approved and paid in accordance with the treaty provisions.- What you will do Adjudicate/Approve US$ and CAN$ Life, Accidental Death Benefit (ADB), Waiver and Disability Insurance (DI) claims with a focus on large dollar claims within the two-year contestability period.
Ensure the correct proofs of claim are received; confirm the policy premiums are paid through date of claim; review treaty wording for compliance (i.e. pool percentage, auto bind and retention limits); identify underwriting and claim issues and ensure material discrepancies are investigated, validated and/or resolved prior to payment.
Identify fraudulent claims.
Claim Portfolio ownership.
Take a lead role in recognizing and resolving internal and external client issues.
Recognize and recommend process improvements.
Ensure internal process and procedures are adhered to.
Participate in internal and client audits including presentation, discussion and recommendations.
Assist with the training of junior staff and manage special projects.

  • What you will bring
  • Postsecondary degree or equivalent with experience adjudicating claims
Knowledge of life underwriting principals and medical aspects: including anatomy, physiology, and medical terminology are an asset
Thorough knowledge and understanding of claim treaty language and claim related clauses.
Proficiency and experience in evaluating potential legal consequences of claim decisions including consulting with legal staff.
Basic understanding of the direct and reinsurance processes and how they relate to each other.
A team player who can independently work in fast paced environment with a high degree of accuracy.
Proven problem-solving, critical thinking, analytical skills, and judgement. Able to consider data, identify anomalies and use information to develop action plans.
Strong organizational and time management skills and able to quickly adapt to changes with a positive demeanor.
Ability to build and maintain inclusive relationships with teammates, clients and decision makers.
Strong collaboration mindset demonstrated through actively fostering cross-functional teamwork.
Working knowledge of Microsoft office products.
Strong verbal and written communication skills.
Working towards obtaining industry related courses (ICA/LOMA/ALU) and applicable designation (i.e. FLHC/AALU).
Able to travel within North America.

  • The base salary for this position is between
    $65,400.

00*:
- $ 108,900.00** annually. This represents base salary only and does not represent other variable compensation components of our total compensation ( i.e. annual bonus, commission etc). If you are selected to move forward in our recruitment process, your recruiter will be able to discuss additional details of our total rewards program with you.
  • Be your best at Canada Life
  • Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success.
  • You can be your best here. You're part of a diverse and inclusive workplace where your career and wellbeing are championed. You'll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences.
  • Together, as part of a great team, you'll deliver on our shared purpose to improve the wellbeing of Canadians. It's our driving force. Become part of a strong and successful company that's trusted by millions of Canadians to do the right thing.
  • Canada Life serves the financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we're one of Canada's leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations.
  • We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential.
  • Canada Life would like to thank all applicants, however only those who qualify for an interview will be contacted
- #LI-Hybrid
Requisition ID:

799
Category:Corporate Functions**Loca

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