Bilingual Claims Examiner

2 weeks ago

Toronto, Canada Securian Canada Full time

**About Securian Canada**

**Who we are - and who we’re here for**

We’re here for all Canadians and their families - however they define family. Our practical, life-ready insurance and protection solutions are designed to help provide financial security, so that Canadians can spend more time making every moment count.

For more than 65 years, we’ve been giving Canadians the confidence to face life’s uncertainties. With offices in Toronto, Montreal, Burnaby, Waterloo and Winnipeg, Securian Canada brings together strong local roots and expertise, a North American footprint, and a global perspective - all while innovating at the speed the markets we serve expect.

Together with our U.S. parent company, Securian Financial, we are a leading insurance provider in the Canadian Financial Institution and Association & Affinity markets. We offer insurance solutions built with genuine care - providing specialized experiences to those we serve.

**What we do every day to be our very best**

Every day at Securian Canada means a day spent helping Canadians and their families build secure tomorrows. We’re agile and innovative, and we aren't afraid to challenge and create, or bring diverse perspectives to our work.

**Who we need**

Reporting to the Senior Manager, Claims, we are adding a Bilingual Claims Examiner to our team. You will be a key player on the team, balancing a wide range of high volume, complex claims. Focusing on 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. In addition, you will work closely with senior team members, the Manager, customers, and external contacts.

**What's in it for you**

**_ Autonomy, camaraderie, career growth._** This is a chance to work on a diverse range of claims as we offer many products to our customers. You will be fully onboarded and trained, be partnered with senior team members on your initial claims, and have ongoing support and mentorship. There is endless opportunity to learn the industry and grow within the team, moving up to a more senior role, including a Team Lead or exploring other areas of the company.

**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?**

When you’re a part of Securian Canada, you’re a member of an agile and innovative, high-performing, bright-thinking, make-things-happen culture - so that together, we can discover the art of possible.

At our company, we see your potential on day one and challenge you to grow your unique strengths as you create a career filled with opportunity, collaboration, and purpose.

You’ll also be part of a team that’s committed to diversity, equity, and inclusion, and who values diverse perspectives, so that you can be the person you want to be - both in, and outside, work.

Securian Canada offers a competitive total rewards program with a variety of perks and benefits, including:

- Flexible work arrangements with monthly financial allocations to support your work-life balance;
- Generous starting paid vacation time, plus additional vacation days for every year of service;
- Paid volunteer day so you can dedicate time to a cause you are passionate about;
- Paid personal and wellness days to support your total wellbeing;
- Educational assistance of up to $3,500 a year (with approval from your manager);
- Flexible health and wellness account (in addition to comprehensive drug and dental coverage)
to help pay for a wide range of wellbeing services that are meaningful to you;
- Up to 14% of combined contr

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