Claims Adjudicator

1 month ago

Waterloo, Ontario, Canada Equitable Life of Canada Full time
Job Title: Individual Claims Adjudicator

We are seeking an experienced Claims Adjudicator to join our Individual Claims team at Equitable Life of Canada. As a Claims Adjudicator, you will play a critical role in ensuring that claims are processed efficiently and accurately, while providing exceptional customer service to our policyholders.

Key Responsibilities:
  • Review and analyze medical information to determine eligibility for Critical Illness, Death, and Disability claims
  • Make independent and objective decisions to determine insured's/claimants eligibility for benefits provided
  • Calculate and request payments from Reinsurance companies for their liability of Claims
  • Interact frequently with Underwriting, Medical Director, Legal, and Compliance to resolve complex claim matters
  • Balance accounts monthly, quarterly, and yearly
Requirements:
  • Knowledge of medical terminology and experience in the interpretation of medical information
  • Sound knowledge of insurance contracts acquired through previous insurance industry experience
  • Excellent verbal and written communication skills
  • Working knowledge of Microsoft Suite and advanced Excel skills
  • Strong attention to detail and prioritization skills
  • Bilingualism in written and spoken French is an asset
What We Offer:
  • A healthy work-life balance with employee wellness top of mind
  • Annual bonus program, annual vacation allowance, and company-paid benefits program
  • An additional paid volunteer day each year so you can spend time giving back to the community
  • Immediate enrollment in the company's pension program with employer matching
  • Employee resource groups that support an inclusive work environment
  • Tuition support and specialized program assistance
About Equitable Life of Canada:

We are a leading life insurance company in Canada, committed to providing exceptional service to our policyholders and employees. We offer a dynamic and collaborative work environment, with opportunities for growth and development.

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