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Claims Consultant

3 weeks ago

Montréal, Canada Sun Life Full time

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

**Key Responsibilities**:
1. Review and process complex life insurance claims, leveraging your adjudication authority to make informed decisions

2. Communicate effectively in both English and [specify second language] with beneficiaries, policy holders, and other stakeholders regarding claim status and requirements

3. Analyze policy documents, death certificates, and other relevant information to determine claim validity, using data-driven methodologies

4. Calculate benefit amounts and prepare claim payments, ensuring accuracy and compliance with regulations

6. Maintain meticulous claim files and records, contributing to the department's data integrity

7. Collaborate with cross-functional teams to resolve complex claim issues and support ongoing claims initiatives

8. Stay current with industry regulations and company policies, proactively adapting to changes

9. Provide compassionate, bilingual customer service to beneficiaries during sensitive times

10. Mentor junior claims consultants, fostering their professional development and enhancing team performance

11. Contribute to the development and implementation of claims initiatives, leveraging your expertise to drive innovation

**Qualifications**:
1. 5+ years of experience in life insurance claims processing or related field

2. Proven adjudication authority in life insurance claims

3. Strong knowledge of life insurance policies and industry regulations

4. Excellent analytical and problem-solving skills with a data-driven mindset

5. Superior verbal and written communication skills in English and French

6. Demonstrated ability to handle sensitive information with discretion and confidentiality

7. Exceptional attention to detail and strong organizational skills

8. Proven ability to work independently and lead team initiatives

9. Empathetic and patient demeanor when dealing with beneficiaries

10. Track record of mentoring junior staff and contributing to team development

11. Bilingualism (French, English, both oral and written) is required to answer calls from English and French speaking clients across Canada and worldwide.

**Preferred Qualifications**:
1. Life Insurance Claims Associate (LICA) certification

2. Experience with underwriting or actuarial work

3. Additional language skills beyond the required bilingual proficiency

4. Experience in implementing or managing claims process improvements

**What’s in it for you?**
- We’re proud to be recognized as a company with a 2024 Most Trusted Executive team by Great Place to Work® Canada
- Access to short-term assignments or ‘Gigs’ across the organization, to help you develop new skills and connections.
- A collaborative and interactive team environment
- Charitable giving through our You Give, We Give program lets you give back to your community - and in many cases, we’ll match your contributions.
- Care Days available for self-care or care of others (i.e., family or others you may support) and Sick Days to support your well-being.

This role offers a unique opportunity to combine your claims expertise with leadership responsibilities. You'll play a crucial role in shaping the department's future through mentorship and involvement in strategic initiatives.

We are proud to be a hybrid organization that offers our employees the choice and flexibility to work from both the office and virtually based on the needs of the business, our Clients and you Several work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.

**Salary Range**:
56,000/56 000 - 93,000/93 000

**Job Category**:
Claims - Life & Disability

**Posting End Date**:
17/06/2025