Bilingual Claim I

1 month ago


Markham, Canada Chubb Full time
Job Responsibilities
  1. Adjudicate all lines of Combined products to Accident and Health.
  2. Approve, deny, or inquire further for necessary information from claimants, doctors, or hospitals to assess claimant’s eligibility for benefits.
  3. Interpret and administer policy provisions including, but not limited to, eligibility and investigations.
  4. Review incoming correspondence concerning existing claims.
  5. Refer files for special investigation, if required.
  6. Discuss and explain benefit payments to claimants by telephone.
  7. Document claim file actions and telephone conversations appropriately.
  8. Review claims on diary and send follow-up reminders in a timely manner.
  9. Refer activity outside of authority level to Senior Adjusters/Assistant Manager, Claims.

Minimum Requirements
  1. Completion of post-secondary education.
  2. 3-5 years of claims adjudication experience.
  3. Bilingual (Fluent in French and English).
  4. Good communication skills, both verbal and written.
  5. Demonstrate ability to perform basic arithmetic.
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