Claims Analyst

1 week ago

Vancouver, Canada iA Groupe financier iA Financial Group Full time

Are you someone who is passionate about providing exceptional customer service, have a great sense of collaboration and is really attentive to detail?

Reporting to the Claims Manager in the Special Markets division, you will adjudicate and manage a fluctuating caseload of new and ongoing disability, life, critical illness claims and health claims. You will be assessing claims and making challenging decisions by following policy guidelines which the client may challenge, while maintaining an outstanding business relationship with our Claimants, Key partners TPA/Brokers and other Stakeholders

**In this role you will be responsible for**:

- Making adjudication of claims and ensuring you adhere to the Policies.
- Foster a culture of openness and flexibility with TPA’s and brokers while being compliant with Privacy
- Develop and maintain positive and effective business relationships with the claimant base, brokers, group policyholders;
- Participate in meetings to discuss claims services and practices, and participate in presentations put on by internal teams or external organizations
- Adjudicate complex and/or contentious AD&D, Life, Disability, CI claims, including waiver of premium claims.
- May handle level one appeals dependent on experience.
- May review proposed amendments and updates being considered to claims or policy forms and provide an appropriate opinion and/or comments concerning the acceptability/adequacy of the proposed change;
- Will review claims with the Medical Consultants.

**What we are Looking For**:

- Degree in Health Sciences or Business Administration or equivalent education and experience.
- 3 years of experience in the Insurance industry
- Bilingual in English and French is an asset
- Knowledge of group life, health, accident and sickness plans and understanding of Third Party Administrators and Third Party Payors (Asset)
- Strong desire to provide Superior Customer Service and relationship building skills;
- Possess strong analytical skills with high attention to detail;
- Ability to remain calm while being pressured to make payments quickly;
- Ability to multi-tasking and prioritize work effectively;

**Company Overview**:
**About**:
iA Financial Group is the strength of a company with a human side, with its over 8,000 employees. Together, we have earned the trust of our more than four million clients and 50,000 advisors who have chosen us for their insurance, savings, and wealth management.

With over $200 billion in assets and half a billion invested in technological innovation, we’re a key player in the financial services industry in Canada and the United States. The secret to our success? Investing in you, one person at a time. Because, for over 125 years, we have believed that it’s by supporting our employees and surrounding ourselves with the most reputable leaders in the industry, we will continue to innovate.

At iA, we’re invested in you.

**Our commitment to Diversity and Inclusion**:
At iA Financial Group, we support and celebrate diversity. We strive to provide a workplace that is recognized as inclusive for all, regardless of ethnic origin, nationality, language, religious beliefs, gender, sexual orientation, age, marital status, family situation, or physical or mental disability.

Please note that if you need help or assistance to make the recruitment process more accessible for you, please contact us here. Someone from our team will be happy to assist you.

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