Claims Specialist

2 weeks ago


Markham Ontario, York region, Canada Kelly Services , Ltd. Full time

Our well-established client in Markham, ON, is looking for Bilingual (French/English) Credit Adjusters who can adapt quickly to their processes and policies. If you are a fast learner who is open to gaining further knowledge and experience in the Insurance industry, and available to work on a 6-month contract, with potential to go longer, then this role may be for you.


RESPONSIBIITIES:


  • Adjudicate contested and complex accident, life, critical illness, cancer, and sickness disability claims.
  • Approve, deny, or inquire further for necessary information from claimants, doctors, or hospital to assess claimant’s eligibility for benefits.
  • Interprets and administers policy provisions including, but not limited to eligibility, definition of total disability, and pre-existing investigations.
  • Review and make decisions for policy rescission, after discussion with underwriting. Adjudicate contested and complex accident, life, critical illness, cancer, and sickness disability claims.
  • Refer files for special investigation if required.
  • Other duties as required.


REQUIREMENTS:

  • Minimum high school education or college diploma
  • Minimum 3 years of claims adjudication experience
  • Bilingual (Fluent in French and English)
  • Good communication skills, both verbal and written
  • Mathematical skills - Aptitude for figures
  • Ability to make good decisions and use sound judgment
  • Strong knowledge of medical terminology an asset
  • Knowledge of disability experience an asset
  • Quick to learn and adapt to new processes, procedures and systems


PERKS:

  • Work Monday to Friday, 37.5-hour work week
  • Training provided
  • Hybrid model 3 days in the Markham Office and 2 days remote
  • $26.00 - $29.00 per hour, depending on experience
  • Paid vacation pay and statutory holidays
  • Hundreds of free training courses through our Kelly Learning Center that you can access from home 24/7


If you're looking for an opportunity where you can be your best self and join a fantastic team, look no further, and apply today

Why Kelly®

As a worker today, it’s up to you to take charge of your career and look for opportunities to learn, grow and achieve your potential. Helping you find what’s next is what we’re all about. We know what’s going on in the evolving world of work—just ask the nearly 500,000 people we employ each year. Connecting with us means getting the support, guidance and opportunities needed to take your career where you may have never imagined.


About Kelly®

At Kelly, we’re always thinking about what’s next and advising job seekers on new ways of working to reach their full potential. In fact, we’re a leading advocate for temporary/non-traditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels and industries around the world.

Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.



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