Disability Claims Adjudication Specialist
1 week ago
Are you looking for a challenging role in claims management within a dynamic and growing team at CIE_101 Beneva Inc.?
We are seeking an experienced Disability Claims Adjudication Specialist to join our national insurance company. As a key member of our team, you will be responsible for managing a diverse portfolio of short and long-term disability claims.
The ideal candidate will have a strong background in claims adjudication and excellent analytical skills to review medical documentation, build return-to-work plans, and make informed decisions on claims. You will also possess exceptional communication skills to provide outstanding customer service to claimants and stakeholders.
This is a fantastic opportunity to grow with our company, and we offer a competitive base salary of $75,000 - $85,000 per year, depending on experience. In addition, you will enjoy excellent benefits, including a defined benefit pension plan, flexible group benefits, and generous vacation allowances.
About the Role:
- Analyze all relevant information to determine our obligations under insurance contracts.
- Contact agents involved in a file to obtain necessary information and provide them with decisions and action plans.
- Select and utilize internal and external interventions to optimize claim outcomes.
- Interact with external agents to ensure they respect objectives and budgets.
- Provide customer service by answering calls from claimants and stakeholders.
- Develop and implement interventions to reduce disability durations.
- Update data in computer systems and make payments when applicable.
- Participate in meetings with policyholders for critical reviews of files.
- Recommend measures to improve service and productivity performance.
Requirements:
- A college or university degree in Administration, Kinesiology, or Health Sciences (an asset).
- 3-5 years of experience in disability claims adjudication and management within an insurance company.
- Excellent command of English and French (spoken and written).
- Strong knowledge of insurance contracts.
- Able to work independently and collaboratively at all levels.
- Strong organizational skills.
- Good analytical, decision-making, and problem-solving skills.
- Excellent prioritization skills.
Benefits:
- Competitive base salary ($75,000 - $85,000 per year)
- Defined benefit pension plan
- Flexible group benefits
- Generous vacation allowances
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