Bilingual Claims Examiner

1 week ago

Toronto, Canada Canadian Premier Full time

At Canadian Premier, everything we do is driven by our genuine desire to build connections with our customers - listening, reflecting, responding - and being there for them during the most trying times of their lives. To be the best at what we do, we look for compassionate, creative people who work efficiently, aren’t afraid to make decisions, and are driven to understand how their role fits into our vision; to be the innovative insurer trusted by families to provide financial protection through partners who care.

For more than 60 years, Canadian Premier has been committed to providing financial security to Canadians and their families in the face of uncertainties, insuring over two million customers coast-to-coast. Every day at Canadian Premier means a day spent helping Canadians and their families build secure tomorrows.
- Headquartered in Toronto, Ontario, with an office in Burnaby, British Columbia, we are a wholly owned and independently operated subsidiary of Securian Financial, a Fortune 500 company*._

**Who we need**

Reporting to the Senior Manager, Claims, **_Bilingual Claims Examiner_** will be handling traditional insurance claims with the room to expand into other lines of business. You will spend your days reviewing, researching, verifying, approving, or denying claims.

**What you will do**
- _ Respond to inquiries by mail or phone._ You will place and accept calls involving customers, physicians, lawyers, and investigators. You will respond to questions regarding claims, eligibility verification, and payments. You will review supportive documentation, benefit forms, and certificates.
- _ Analyze_. You will accurately examine traditional insurance claim files within the processing guidelines according to the certificate provisions; updating information; and document the claim file with written notations of the claim status and related payment information.
- _ Document._ You will prepare the policy decision for additional review if applicable. You will create detailed claim documentation, writing letters, and completing associated forms.

**What you bring**
- _ The experience._ You have insurance claims experience. You have knowledge of insurance practices and principles as well as medical terminology. FLHC, FLMI, or ALHC designation is beneficial but not required.
- _ The ownership._ You hold yourself highly accountable for meeting your deliverables. You are analytical, detail-oriented, and have impeccable decision-making skills. You value the expertise of others and have the confidence to defend your choices. You can work autonomously in a fast-paced, deadline-oriented environment, balancing competing priorities. You are driven by the need to make the lives of others easier.

**Why join us**

When you're a Canadian Premier employee, you're part of a hard-working, high-performing, bright-thinking, make-things-happen family. One that sees your potential on day one, challenging you to grow your unique strengths as you create a career filled with opportunity, collaboration and meaning. For our newest team members to our most tenured, we're committed to being an employer that supports the person you want to be, at work and outside of it. We’re growing - and we want you to grow with us.

At Canadian Premier we know there’s nothing more important than treating each other with respect, compassion, understanding, and dignity. Even though our family has grown over the years, we still maintain the entrepreneurial spirit that got us started. Watch this video to learn more about our core values and our Canadian Premier family.
- Be part of a fast-paced company that offers you exciting opportunities to advance your career while you contribute to helping Canadians build secure tomorrows._

Many of the individuals who lead our team have an impressive tenure with us, and every single one of them will tell you, it’s about the people—the people we serve and the people we work with. We’re a small organization with flexibility, openness, and responsiveness; with the security and resources to continue to do our work in a way that makes the most impact on our customers.
- Be a part of a place guided by people-focused not profit-driven values: Communicate openly, be accountable, be curious, celebrate together as one family._

This is a place that stands behind work-life balance, an accessible leadership team, transparent communication, and an atmosphere that can only be described as family-focused. We continue to promote an engaged work-life balance throughout the pandemic with initiatives that include virtual town halls, casual online coffees, mental health workshops and employee appreciation packages. The very nature of what we do - listening to our customers - is the foundation of how we collaborate, learn from one another, embrace diverse perspectives, and hold each other up.

We offer a competitive base salary with an annual incentive bonus plan, comprehensive benefits, and time off - needed to e

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