Claims Examiner

1 month ago

Burnaby, Canada Securian Canada Full time
DescriptionThe Claims Examiner is accountable to assess claims for benefit entitlement by adhering to contractual, medical, functional, and occupational information to render claim decisions according to contract and established processes.  In compliance with the instructions and defined internal/external policies and procedures you will deliver the decision in a timely manner, while providing exceptional service to the different stakeholders. 
What you will do
  • Responsible for assessing claims for benefit entitlement (Life, Accidental Death & Dismemberment, Disability, Critical Illness and Job Loss), by reviewing contractual, medical, functional and occupational information and in accordance with certificate provisions, adhering to established routines and processes for our various clients.
  • Follow up with diligent communications with the different stakeholders, to obtain or provide information regarding claim status and reasoning, and complete reporting as required.
  • Thoroughly document the analysis according to Securian’s policies and processes.
  • Effectively manage an active caseload in accordance with client service standards and best practice guidelines and established KPI’s.
  • Contribute to and foster a positive and dynamic working environment by supporting team members and through collaboration to department project work, and with plan members, plan sponsors and other stakeholders, to ensure service standards are met.

What you will bring
  • Post-secondary education preferred or equivalent work experience.
  • FLHC, FLMI, or ALHC designation is considered an asset.
  • Fundamental knowledge of Microsoft suite of products.
  • Prior claims experience preferred. 
  • Medical experience obtained through claim assessing, underwriting, nurse /health profession and medical terminology.
  • Strong analytical skills combined to a thorough knowledge of insurance practices and principles enabling wise problem-solving.
  • Strong attention to details with a dedication to accuracy and high quality service.
  • Stellar interpersonal and communication skills, both written and verbal.
  • Ability to professionally manage stressful situations and to deliver difficult news in a tactful and empathetic manner.
  • Ability to multitask with complex aspects while respecting different timelines of delivery while focused on positive outcome for all stakeholders.

Why join?When you’re a part of Securian Canada, you’re a member of an agile and innovative, high-performing, bright-thinking, make-things-happen culture – so that together, we can discover the art of possible. 

At our company, we see your potential on day one and challenge you to grow your unique strengths as you create a career filled with opportunity, collaboration, and purpose. 

You’ll also be part of a team that’s committed to diversity, equity, and inclusion, and who values diverse perspectives, so that you can be the person you want to be – both in, and outside, work.

Securian Canada offers a competitive total rewards program with a variety of perks and benefits, including:
  • Flexible work arrangements with monthly financial allocations to support your work-life balance; 
  • Generous starting paid vacation time, plus additional vacation days for every year of service;
  • Paid volunteer day so you can dedicate time to a cause you are passionate about; 
  • Paid personal and wellness days to support your total wellbeing;  
  • Educational assistance of up to $3,500 a year (with approval from your manager);
  • Flexible health and wellness account (in addition to comprehensive drug and dental coverage)
    to help pay for a wide range of wellbeing services that are meaningful to you; 
  • Up to 14% of combined contributions to the RRSP matching program; 
  • Family-friendly maternity/parental leave and, 
  • Many, more benefits, perks and programs.
If you have at least 70% of the qualifications we're looking for, want to work in a fast-growing, leading and progressive company, and feel driven to help Canadians and their families build secure futures – we want to hear from you 

Take the first step in building your future with Securian Canada. Apply now.

Securian Canada is committed to providing a barrier-free work environment and equal access to employment for all qualified applicants. As such, upon request, Securian Canada will work with applicants that require reasonable accommodations during the recruitment process. Please contact careers@securiancanada.ca for accommodation requests. All information shared during any accommodation request process will be stored and used only in a manner that is consistent with applicable laws and Securian Canada/Canadian Premier Life Insurance Company policies.

Who we are – and who we’re here for

We’re here for all Canadians and their families – however they define family. Our practical, life-ready insurance and protection solutions are designed to help provide financial security, so that Canadians can spend more time making every moment count.

For more than 65 years, we’ve been giving Canadians the confidence to face life’s uncertainties. With offices in Toronto, Montreal, Burnaby, Waterloo and Winnipeg, Securian Canada brings together strong local roots and expertise, a North American footprint, and a global perspective – all while innovating at the speed the markets we serve expect.

Together with our U.S. parent company, Securian Financial, we are a leading insurance provider in the Canadian Financial Institution and Association & Affinity markets. We offer insurance solutions built with genuine care – providing specialized experiences to those we serve.

What we do every day to be our very best

Every day at Securian Canada means a day spent helping Canadians and their families build secure tomorrows. We’re agile and innovative, and we aren't afraid to challenge and create, or bring diverse perspectives to our work.

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