Bilingual Claims Examiner

2 weeks ago

Toronto, Ontario, Canada CB Canada Full time
About CB Canada

At CB Canada, we're committed to providing financial security to Canadians and their families in the face of uncertainties. Our team is dedicated to helping individuals build secure tomorrows.

Job Summary

We're seeking a highly skilled Bilingual Claims Examiner to join our team. As a key player on our team, you'll be responsible for reviewing, researching, verifying, approving, or denying claims. You'll work closely with senior team members, customers, and external contacts to ensure seamless communication and efficient claim processing.

Key Responsibilities
  • Respond to inquiries by mail or phone, placing and accepting calls involving customers, physicians, lawyers, and investigators.
  • Analyze traditional insurance claim files within the processing guidelines, updating information, and documenting the claim file with written notations of the claim status and related payment information.
  • Prepare policy decisions for additional review if applicable, creating detailed claim documentation, writing letters, and completing associated forms.
Requirements
  • Insurance claims experience, with knowledge of insurance practices and principles, as well as medical terminology.
  • Exceptional written and verbal communication skills, with the ability to remain calm during times of stress, conflict, or emotionally heavy details.
  • Full bilingual proficiency in French and English, with the ability to communicate effectively with customers, internal teams, lawyers, and other professionals.
What We Offer
  • A competitive base salary with an annual incentive bonus plan.
  • Comprehensive benefits, including a Group Retirement Savings Plan (RRSP) and a company match for Deferred Profit-Sharing Plan (DPSP).
  • Professional growth and development opportunities through training and educational assistance programs.
  • A flexible workplace policy that supports work-life balance.

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