Beyond Bilingual Inc.
Description
Bilingual Claims Analyst
Full-time Permanent
Location: Toronto - Hybrid
Hours: Mon-Fri –8:30am-5pm (40 hours/wk.)
Salary: Up to $75,000
Company: Our client is a licensed Life and Health Agency with Property and Casualty Broker licenses throughout Canada. Due to continued growth, they are looking to add a key member to their team of claims professionals.
Perks:
- Company-paid health benefit plan (start day 1)
- Healthcare spending account
- Wellness spending account
- Life Insurance
- RRSP
- Employee Development
- Casual dress code policy
Responsibilities
Job Overview
The incumbent will be responsible for reviewing, processing and reporting incoming Life and A&H claims. Using client, processing and business knowledge, he/she will conduct in-depth reviews and report unusual reporting trends/issues to stakeholders. This position will involve ongoing communication with internal departments and external clients.
Responsibilities:
- Review, validate and process claims on a day-to-day basis in alignment with Service Level Agreements for claims philosophy and practices.
- Conduct claim reviews through treaty validation and trending analysis to assess validity and accuracy.
- Develop a thorough understanding of each client and its mode of operations (ie reporting formats, frequencies, etc). Act as a subject matter expert for assigned clients as well as operations processes and controls.
- Liaise with clients to understand and/or correct reporting deviations and errors.
- Analyze and update control reports and escalate any issues with potential or known financial impact.
- Acts as liaison between internal stakeholders, senior management and clients to understand and report all claims volumes, issues, etc
- Actively seek enhancements and make recommendations for new processes to improve efficiencies or rectify inaccuracies or information gaps.
- Provide support to members of the Administration department.
Qualifications
- Bilingual (English/French) would be preferred
- Post-secondary education, preferably with a background in business, mathematics, or economics.
- 1-3 years experience in processing A&H and/or Life Reinsurance claims
- 1-3 years Insurance/Reinsurance knowledge
- Excellent analytical skills with attention to detail
- Intermediate experience with MS Excel
- Excellent communication skills, tactful and good judgment and the ability to interact with clients and stakeholders at all levels.
- Reinsurance professional qualifications (FLMI or ALHC), equivalent experience or willingness to take industry courses
- Ability to work in a fast-paced environment with minimal supervision