Claims Investigator Support

1 month ago

Waterloo, Canada Equitable Life of Canada Full time

At Equitable Life of Canada, we realize that your work life is not just about performing a job; it's about being part of a workplace that helps you grow and reach your full potential. Within our friendly and collaborative work environment, we recognize that the key to our growth and success is a dedicated, motivated and customer-responsive staff. Join Equitable Life today.

**Position Title**: Claims Investigator Support 2

**Reports To**: Manager, Investigative Claims Unit

**Department**: Group Claims and Admin Management

**Term**: Temporary Full Time (12 month contract)

**Work Arrangements**: We are currently working remotely, and we will be moving to a hybrid model when our office renovation is complete (approximately September 2023), coming into the office a minimum of 2 days per week, every other week on designated days.

**The Opportunity**: Equitable Life is growing and we’re seeking an organized and detail oriented individual to join our team In this role you’ll offer first level support to the Investigative Claims Unit (ICU) team to aid in investigations. This is an amazing entry-level opportunity for anyone interested in working in investigations and fraud.
Don’t miss your chance to work for one of Waterloo Region’s Top Employers for 14 year and counting

**What you will be doing**:

- Utilize internal systems to gather claim information and documents to consolidate into an evidence log and case management tool
- Contact plan sponsors, plan members, and providers/practitioners to obtain missing information, as directed by investigators or manager
- Document progress on files and assist with monthly reports
- Work closely with our internal partners to effectively manage claim investigations
- Maintain metric reports for the FIRM team including but not limited to, turnaround time, production reports and savings reports
- Provide assistance for investigations as required
- On occasion, involved in basic review and research to gather data for preliminary findings on large provider abuse
- Triage case leads and assist in case prioritization
- Create and assist with templated written communication to external stakeholders
- Provide backup on some basic investigation duties when required

**What you will bring**:

- Strong teamwork and problem resolution skills
- Strong listening skills and sensitivity to clients when required
- Excellent interpersonal skills with a customer service focus
- Superior organizational skills with an ability to manage a fluctuating workload
- Detail oriented
- Intermediate to advanced computer skills including Power BI and MS Office, especially Excel, Word and Access
- Knowledge of group benefits is an asset
- Exhibit a high degree of professionalism and discretion when interacting with stakeholders and while handling confidential and sensitive issues
- Willingness to adapt current processes and take on additional tasks to improve efficiency and internal customer support

**What’s in it for you**:

- A healthy work-life balance with employee wellness top of mind
- We value open, honest communication between team members, challenging each other to continually improve
- Employee resource groups that support an inclusive work environment
- A company subsidized cafeteria with a variety of daily options
- Regular EQ Together events focused on company togetherness and collaboration

As part of the recruitment/offer process you will be required to provide two professional references (minimum one supervisor and above).

To learn more about Equitable Life, we encourage you to explore our organization.

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