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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims adjudication, particularly in disability claims, while providing exceptional customer service and maintaining accurate claim records. Proficient in both English and French, with strong analytical skills to evaluate risk and make informed decisions.
Highest-signal resume keywords
Claims AdjudicationCustomer Service OrientationBilingual (French/English)Analytical SkillsMicrosoft Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AdjudicationMedical TerminologyFinancial Documentation InterpretationUnderwriting ProcessesRisk Assessment
Soft Skills
Negotiation SkillsInterpersonal SkillsOral CommunicationWritten CommunicationTeam Collaboration
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft PowerPoint
Industry Keywords
Insurance ActCivil Code of QuébecClaims PracticesPolicy EnhancementsEligibility Verification
About the role
Key responsibilities & impact- Establish and maintain superior customer service to policyholders, agents, and marketing centers.
- Manage ongoing claims by requesting further medical or financial documentation and investigations as required.
- Consult with specialists in all areas.
- Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, and endorsements.
- Administer policy enhancements, premium waiver, and other policy benefits.
- Make decisions on claim benefit eligibility and communicate decisions to stakeholders.
- Document claim files to ensure an accurate record of events during claim handling.
- Obtain proper file information and review policy provisions to verify eligibility.
- Accurately maintain claim records in the system to ensure accurate reserve calculations.
Requirements
What you’ll need- University degree in any discipline or equivalent experience.
- 3+ years of experience in claims adjudication, ideally in disability claims.
- Strong customer service orientation with solid negotiation skills.
- Advanced proficiency in Microsoft Office (Word, Excel, PowerPoint).
- Fully bilingual (French/English); required to communicate in English and French to support clients from various jurisdictions outside of Quebec.
- Excellent interpersonal skills, with strong oral and written communication skills.
- Working knowledge of government legislation and legal precedents, the Insurance Act and/or the Civil Code of Québec an asset.
- Strong working knowledge of medical conditions and terminology.
- Experience interpreting and applying financial documentation and fair claims practices.
- Good understanding of underwriting processes.
- Strong analytical skills to assess conflicting information from multiple sources, evaluate risk, and make timely, effective decisions.
- Ability and willingness to work in a team environment.
Benefits
Comp & perks- Flexible environment supporting well-being and inclusion
- Health insurance
- Dental insurance
- Mental health benefits
- Vision insurance
- Short- and long-term disability insurance
- Life and AD&D insurance coverage
- Adoption/surrogacy benefits
- Wellness benefits
- Employee/family assistance plans
- Retirement savings plans
- Pension
- Global share ownership plan with employer matching contributions
- Financial education and counseling resources
- Paid holidays
- Vacation
- Personal days
- Sick days
- Statutory leaves of absence
- Incentive programs and incentive compensation tied to business and individual performance
- Opportunities to learn and grow
- Career development support