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Bilingual Analyst, Claims Processing
Securian Canada. Assess claims to determine benefit eligibility by reviewing contractual, medical, functional, and occupational documentation .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in assessing insurance claims for benefit eligibility, managing caseloads, and maintaining accurate documentation while effectively communicating with stakeholders. Proficient in conducting sensitive interviews and optimizing processes in a collaborative environment.
Highest-signal resume keywords
Insurance Claims ProcessingFluency In French And EnglishTelephone InterviewingDocumentation ManagementInterpersonal Skills
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 AssessmentBenefit Eligibility DeterminationDocumentation AnalysisProcess OptimizationPerformance Indicators
Soft Skills
EmpathyTeam SpiritAdaptabilityPositive AttitudeCommunication
Certifications & Qualifications
Post-Secondary EducationCollege Diploma (DEC) Preferred
Industry Keywords
Life InsuranceDisability InsuranceCritical Illness ClaimsService StandardsContinuous Improvement Initiatives
About the role
Key responsibilities & impact- Assess claims to determine benefit eligibility by reviewing contractual, medical, functional, and occupational documentation
- Manage an active caseload in accordance with service standards, best practices, performance indicators, and processing timelines
- Fully document claims analyses and maintain accurate records
- Communicate professionally and empathetically with stakeholders, clarify claim status, and explain decisions
- Conduct telephone interviews with clients or relevant parties
- Identify required supporting documentation and follow up on outstanding items
- Collaborate with the team, plan sponsors, and other stakeholders
- Participate in department projects and continuous improvement initiatives
- Identify opportunities to optimize processes and adapt to change
Requirements
What you’ll need- Post-secondary education or equivalent work experience
- College diploma (DEC) in a relevant field preferred
- Minimum one year of experience processing insurance claims, particularly life, disability, and critical illness claims
- Fluency in French and English to communicate with clients and colleagues in Quebec and across the rest of Canada
- Ability to conduct sensitive telephone interviews with tact and strong interpersonal skills
- Positive attitude, strong team spirit, and ability to adapt to organizational change
Benefits
Comp & perks- Agile, innovative, and high-performing culture
- Career development and collaboration opportunities
- Commitment to diversity, equity, and inclusion
- Barrier-free work environment and equal access to employment
- Reasonable accommodations available during the recruitment process upon request