Disability Claims Examiner I

3 weeks ago

Burlington, Canada The Co-operators Full time

**Position Overview**:
**Company**:CUMIS Union

**Number of Positions**: 1

**Language**: Bilingualism in English and French is required.

**Work Model**:Hybrid

**Alternate Title**: n/a

**Additional Information**:
This is a 3 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.

***:
**How you will create impact**:

- For each new claim record determine the member’s coverage and the necessary claim records for each product.
- For A claims, based on system parameters and department guidelines accept, pay and close a claim to its recovery date not exceeding 2 months of benefits.
- For B claims, based on system parameters and departmental guidelines accept and pay a claim for 1 month prior to transferring the claim to a level I or level II examiner.
- Requesting and reviewing supplementary medical information for total and permanently disabled claimants.
- Identifying claims for re-assessment by a level II or level III claims examiner where total and permanently disability is in question.
- Receiving and distributing incoming faxes and return mail according to department procedures.
- Contacting the policyholder to obtain information necessary to confirm coverage.

**How you will succeed**:

- You adapt to change and are committed to continuous improvement, in order to exceed client expectations.
- 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 Completed a post-secondary diploma with 6 - 12 months customer service experience.
- You have or are working towards a medical terminology course is an asset.
- Completion of LOMA 280 & 290 or ACS 100 preferred.

**What you need to know**:

- Strict confidentiality with respect to client’s medical history, financial status and other personal information.

**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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