Bilingual Representative, Claims (Petline Insurance)
Top Benefits
About the role
Job Description In this role, you will adjudicate health claims in compliance with the policy terms and conditions. You will also provide expert guidance to cross-functional teams to facilitate attainment of profitability targets.
What Can You Expect In This Role
- Assess eligibility of claim conditions based on policy wordings
- Assess claims and requesting medical records for review in association with claims
- Assess requests for Pre-Authorizations and Pay Practice Direct claim forms and determining outcome of disallowance or approval
- Provide support of decisions and guidance on product and claims adjudication for Insurance Advisors and Territory Managers
- Provide support and guidance to veterinary practices through the Petline
- Collaborate with channel partners and customer policy holders to obtain information for claims submissions and adjudication
- Provide support to customer and channel partner enquiries in regard to claims submissions and conducting post-claims customer surveys to strive toward improving Net Promoter Score
- Draft customer correspondence and documents of insurance
What Do You Bring To The Role
- Animal Health Technologist (AHT) designation or equivalent combination of education and experience.
- An AMF license is beneficial but not mandatory
- Previous veterinary clinic experience.
- Must be bilingual in English and French : A high level of proficiency in English is required to effectively support internal and external clients across Canada
Salary Range : $49,300- $82,100
About Us Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions and the local labour market.
This position is being posted to fill an existing vacancy.
Interested in this role, but don’t meet every requirement? We encourage you to apply! We know from experience that a candidate doesn’t need 100% of the qualifications listed to bring incredible value to our team. We’re actively seeking diverse backgrounds and perspectives to help us make insurance better. At Definity, inclusion, diversity, and equity aren’t just “nice to have” — they’re essential to our success.
What’s in it for you?
- Hybrid work schedule for most roles
- Company share ownership program
- Incentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.
- Pension and savings programs, with company-matched RRSP contributions
- Paid volunteer days and company matching on charitable donations
- Educational resources, tuition assistance, and paid time off to study for exams
- Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
- Wellness and recognition programs
- Discounts on products and services
Go ahead and expect a lot — you deserve it. It’s better here — but don’t take our word for it. Definity was named by Great Place to Work ® as one of the Best Workplaces™ in Canada for women, for youth, and for inclusion.
Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting accessibility@economical.com.
Background checks This role requires successful clearance of background checks (including criminal checks and leadership references).
#IND1
About The Team Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.
We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.
About Petline Insurance Company
As the first and only licensed insurance company in Canada to focus solely on pet health insurance, Petline Insurance is dedicated to responsible pet ownership.
Petline Insurance has a number of product lines. Our core brand is Petsecure pet health insurance. We also underwrite OVMA Pet Health Insurance, Pet Insurance for Hudson's Bay customers, Desjardins Pet Insurance Program, The Personal Pet Insurance Program, Toronto Humane Society Pet Health Insurance, Nova Scotia SPCA Pet Health Insurance, and CAA pet insurance.
Each brand offers distinct coverage options with unique benefits at varying price points. One is sure to meet any pet owner's needs.
Petline is part of Definity.
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Bilingual Representative, Claims (Petline Insurance)
Top Benefits
About the role
Job Description In this role, you will adjudicate health claims in compliance with the policy terms and conditions. You will also provide expert guidance to cross-functional teams to facilitate attainment of profitability targets.
What Can You Expect In This Role
- Assess eligibility of claim conditions based on policy wordings
- Assess claims and requesting medical records for review in association with claims
- Assess requests for Pre-Authorizations and Pay Practice Direct claim forms and determining outcome of disallowance or approval
- Provide support of decisions and guidance on product and claims adjudication for Insurance Advisors and Territory Managers
- Provide support and guidance to veterinary practices through the Petline
- Collaborate with channel partners and customer policy holders to obtain information for claims submissions and adjudication
- Provide support to customer and channel partner enquiries in regard to claims submissions and conducting post-claims customer surveys to strive toward improving Net Promoter Score
- Draft customer correspondence and documents of insurance
What Do You Bring To The Role
- Animal Health Technologist (AHT) designation or equivalent combination of education and experience.
- An AMF license is beneficial but not mandatory
- Previous veterinary clinic experience.
- Must be bilingual in English and French : A high level of proficiency in English is required to effectively support internal and external clients across Canada
Salary Range : $49,300- $82,100
About Us Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions and the local labour market.
This position is being posted to fill an existing vacancy.
Interested in this role, but don’t meet every requirement? We encourage you to apply! We know from experience that a candidate doesn’t need 100% of the qualifications listed to bring incredible value to our team. We’re actively seeking diverse backgrounds and perspectives to help us make insurance better. At Definity, inclusion, diversity, and equity aren’t just “nice to have” — they’re essential to our success.
What’s in it for you?
- Hybrid work schedule for most roles
- Company share ownership program
- Incentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.
- Pension and savings programs, with company-matched RRSP contributions
- Paid volunteer days and company matching on charitable donations
- Educational resources, tuition assistance, and paid time off to study for exams
- Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
- Wellness and recognition programs
- Discounts on products and services
Go ahead and expect a lot — you deserve it. It’s better here — but don’t take our word for it. Definity was named by Great Place to Work ® as one of the Best Workplaces™ in Canada for women, for youth, and for inclusion.
Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting accessibility@economical.com.
Background checks This role requires successful clearance of background checks (including criminal checks and leadership references).
#IND1
About The Team Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.
We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.
About Petline Insurance Company
As the first and only licensed insurance company in Canada to focus solely on pet health insurance, Petline Insurance is dedicated to responsible pet ownership.
Petline Insurance has a number of product lines. Our core brand is Petsecure pet health insurance. We also underwrite OVMA Pet Health Insurance, Pet Insurance for Hudson's Bay customers, Desjardins Pet Insurance Program, The Personal Pet Insurance Program, Toronto Humane Society Pet Health Insurance, Nova Scotia SPCA Pet Health Insurance, and CAA pet insurance.
Each brand offers distinct coverage options with unique benefits at varying price points. One is sure to meet any pet owner's needs.
Petline is part of Definity.