Claims Examiner
Department: Claims
Employment Type: Permanent - Full Time
Location: Toronto, ON
Description
What we do every day to be our very bestEvery 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.
Who we need
The Claims Examiner will be 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, AD&D, 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 and TAT’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;
- Learn and apply tools and technology that support continuous improvement by identifying opportunities to improve processes and customer service delivery and adapting to changes as improvements are implemented;
- Performs other related duties, as assigned.
What you will bring
- Post-secondary education (or equivalent work experience); professional designations such as FLHC, FLMI, or ALHC are an asset;
- Solid knowledge of Microsoft Office Suite;
- Previous experience in claims is preferred, background in medical assessment, underwriting, nursing/health professions, or medical terminology is highly valued;
- Strong analytical skills combined with a sound understanding of insurance practices and principles, enabling effective problem-solving;
- Exceptional attention to detail, with a commitment to accuracy and delivering high-quality service;
- Excellent interpersonal and communication abilities, both written and verbal;
- Proven ability to manage stressful situations with professionalism and to communicate difficult decisions with empathy and tact;
- Skilled at multitasking complex priorities while meeting deadlines and ensuring positive outcomes for all stakeholders;
- A positive, team-oriented attitude that contributes to strong morale and collaboration.
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.
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 [email protected] 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.
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