Bilingual Claim I
1 month ago
- Adjudicate all lines of Combined products to Accident and Health.
- Approve, deny, or inquire further for necessary information from claimants, doctors, or hospitals to assess claimant’s eligibility for benefits.
- Interpret and administer policy provisions including, but not limited to, eligibility and investigations.
- Review incoming correspondence concerning existing claims.
- Refer files for special investigation, if required.
- Discuss and explain benefit payments to claimants by telephone.
- Document claim file actions and telephone conversations appropriately.
- Review claims on diary and send follow-up reminders in a timely manner.
- Refer activity outside of authority level to Senior Adjusters/Assistant Manager, Claims.
Minimum Requirements
- Completion of post-secondary education.
- 3-5 years of claims adjudication experience.
- Bilingual (Fluent in French and English).
- Good communication skills, both verbal and written.
- Demonstrate ability to perform basic arithmetic.
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