Life Claims Assessor

2 months ago

Regina, Canada The Co-operators Full time

**Position Overview**:
**Company**:CLIC

**Number of Positions**: 1

**Language**: This role operates in English.

**Work Model**:Hybrid

**Alternate Title**: n/a

**Additional Information**:
This is a 12 month temporary/contract position.

**The Opportunity**:
We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients and our communities.

Our Group Benefits team is a leader in our target markets through service excellence and innovative technology and products. Influenced by our co-operative values, our team of experts work collaboratively with clients to deliver solutions that meet their business needs. The Life Claims Assessor role is the first point of contact for field partners, TPA's, employers and beneficiaries for the payment of Life Claims. This position allows claims to be reported and paid on the first point of contact which allows for increased efficiencies and improved client service.

**How you will create impact**:

- Interpreting/determining contract provisions on all features of a wide range of products for multiple product lines, Group, and Individual to ensure proper claims adjudication
- Taking detailed claim reports and statements from insured, field staff, employers, Third Party Administrators (TPA’s) etc., and document files appropriately
- Identifying policies involving reinsurance treaties, communicate with reinsurers when necessary (verbal and written), provide appropriate claim documentation and request reinsurance recoveries
- Completing new Claim Administration including history searches, file preparation, system coding and complete Claims Settlements including system coding, issuing cheques, preparing settlement/approval letters, tax slips, etc.
- Generating follow-up reports and prioritizing activities based on defined criteria
- Approving and issuing expense cheques for medical reports, coroner’s reports, police reports and legal expenses
- Effectively respond to difficult phone calls from insured, Third Party Administrators, employers, advisors, beneficiaries etc.

**How you will succeed**:

- You influence change and are committed to continuous improvement, in order to exceed client expectations.
- You leverage critical thinking skills to identify problems and proactively propose solutions.
- Your strong communication skills allow you to clearly convey messages.
- You’re an effective team player who shares knowledge to support your peers.

**To join our team**:

- You have an high school diploma or equivalent.
- You have or are working towards Associate, Customer Service Designation.
- You have two years of previous experience in specific field/industry.
- Having a certificate in medical terminology is an asset.
- You have an understanding of a variety of systems (i.e. Ingenium, Life Claims Systems, Compass, OnBase, Horizon, LifePages, Outlook, Salesforce etc.)

**What you need to know**:

- You will provide support to clients who are experiencing a stressful personal or financial loss. A high degree of confidentiality and discretion is required.

**What's in it for you?**:

- Training and development opportunities to grow your career.
- Flexible work options and paid time off to support your personal and family needs.
- A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
- Paid volunteer days to give back to your community.
- A comprehensive total rewards package, including competitive salary, bonus, pension and benefits.

**Interested in applying?**:
Co-operators is focused on fostering an inclusive, equitable and accessible work environment and we encourage individuals from all identity groups to apply. If you require an accommodation during the recruitment process, please contact the hiring manager.

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