Insurance Claim Examiner

3 weeks ago


Waterloo, Ontario, Canada Equitable Life of Canada Full time

Job Title: Individual Claims Adjudicator

Job Summary:

We are seeking an experienced Claims Adjudicator to join our Individual Claims team. As a Claims Adjudicator, you will be responsible for reviewing and analyzing claims to determine eligibility for benefits. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.

Key Responsibilities:

  • Review and analyze claims to determine eligibility for benefits
  • Communicate with claimants, medical professionals, and other stakeholders to gather information and resolve claims
  • Make independent and objective decisions to determine insured's eligibility for benefits
  • Balance accounts and ensure accurate payment of claims
  • Collaborate with other teams, including Underwriting, Medical Director, and Legal and Compliance

Requirements:

  • Knowledge of medical terminology and experience in the interpretation of medical information
  • Sound knowledge of insurance contracts and 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

How to Apply:

  • Provide two professional references (minimum one supervisor and above)

Equitable Life of Canada: We are committed to providing equal access to employment opportunities across our organization. If you require an accommodation with the application process, please contact our HR team.



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