Bilingual Claims Analyst

Bilingual Claims Analyst
Full-time Permanent

Location:  Toronto - Hybrid

Hours: Mon-Fri – 8:30am-5pm (40 hours/wk.)

Salary: Up to 75K

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

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.

• Excellent analytical skills with attention to detail.

• Intermediate proficiency with MS Excel.

• Excellent communication skills, tactful and good judgment and the ability to interact with clients and stakeholders at all levels.

• Bilingual (English/French) would be preferred.

• 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.

• 1–3 years experience in processing A&H and/or Life Reinsurance claims.

• 1–3 years Insurance/Reinsurance knowledge.

• Post-secondary education, preferably with a background in business, mathematics, or economics.