Claims Examiner III, Creditor Life and Disability
Top Benefits
About the role
Company: CUMIS
Department: Creditor Claims
Employment Type: Regular Full Time
Work Model: Hybrid
Language: This role operates in English.
Additional Information: This/these role(s) is/are currently vacant.
The Opportunity We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients, and our communities.
Our national Creditor team aspires to develop and deliver market leading products and solutions to exceed client expectations. We think strategically and collaboratively to create mutually beneficial results and achieve business objectives. We operate with high-integrity, motivated by our desire to do the right thing for our clients and their members.
The Claims Examiner III, Creditor Life and Disability adjudicates and manages a caseload of creditor Group Mortgage Protection (GMP) and Monthly Premium over $50,000 (MP) disability and life claims. This role is also responsible for adjudicating and managing claims for other creditor disability products including Loss of Employment (LOE), and where combined coverage exists, Single Premium (SP), Monthly Premium (MP) and Credit Card. This role assesses eligibility for disability and life benefits, develops case management plans, initiates, and implements interventions to minimize claim durations, authorizes and issues disability benefits.
How You Will Create Impact
- Through the review of current and historical medical information assess the initial insurance application to determine if a material misrepresentation (including fraudulent misrepresentation) has been made by the policyholder.
- For policies that are rescinded as a result of misrepresentation, communicate the decision to the appropriate parties including the policyholder.
- Ensure accuracy of, assess and review all information received in support of a new claim.
- Interview claimants, employers, loans officers by telephone prior to making claim decisions.
- Using the information received, the additional information gathered and the resources available and in accordance with policy provisions determine if the claim is payable.
- For each claim, develop and execute a proactive case management plan with the objective of minimizing the disability period.
- Initiate assessments and examinations where necessary.
- Proactively assess and review claims for change of definition including identifying alternative occupations and communicating change of definition decisions.
How You Will Succeed
- You adapt to change and are committed to continuous improvement, in order to exceed client expectations.
- Your strong communication skills allow you to clearly convey messages.
- You’re an effective team player who shares knowledge to support your peers.
To Join Our Team
- Completion of a post-secondary diploma with 2 years customer service experience, 2 years disability claims management experience preferred.
- Medical anatomy College or University equivalent or ICA CI required.
- Completion of LOMA 280 & 290 required.
- ALHC, degree in a related discipline preferred.
- Knowledge of creditor products.
What’s in it for you?
- Training and development opportunities to grow your career.
- A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
Salary information
“Expected salary/hourly range $X - $X” (min-max, full range)
OR
“Salary to be discussed with successful applicants” (where a range is not published)
Salary placement
“The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.”
Incentive/Variable pay
“Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.”
Sales Roles
“Expected salary/hourly range $X - $X (min-max, full range). This role is eligible to participate in a sales incentive plan for additional compensation with an annual target of X%”
OR
“A target range of X% - X%” (agency roles)"
About Co-operators
As a leading Canadian financial services co-operative, Co-operators offers multi-line insurance and wealth products, services, and advice to build financial strength and security. With over $56 billion in assets under management, we provide financial solutions and security through property and casualty (P&C) insurance, life insurance, wealth management, institutional asset management and brokerage operations. We are governed by member organizations, including co-operative organizations, credit union centrals and representative farm organizations.
We are rooted in the idea that together, we are stronger, safer, and more resilient. Our vision to be a catalyst for a sustainable society is reflected in everything we do, including our community investment programs, strategic partnerships, and active volunteerism. We champion and fund the development of community-oriented co-operatives and social enterprises, invest for positive impact, and work hard to contribute to communities across Canada by supporting financial literacy, mental health, flood safety, and sustainability initiatives and programming.
With over 600 locations across the country, over 6,000 employees and a dedicated financial advisor network of over 2,500 licensed insurance representatives, we remain true to our roots: putting the needs of our clients and our communities first.
Our response to COVID-19 As an essential service, we took immediate steps to ensure the health and safety of our people, clients, and communities. We’re following the direction of Health Canada as we roll out a phased return to corporate and local offices across the country. If you have applied for a posted role, a recruiter will be in touch with an update. Currently, all interviews are being conducted remotely.
Claims Examiner III, Creditor Life and Disability
Top Benefits
About the role
Company: CUMIS
Department: Creditor Claims
Employment Type: Regular Full Time
Work Model: Hybrid
Language: This role operates in English.
Additional Information: This/these role(s) is/are currently vacant.
The Opportunity We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients, and our communities.
Our national Creditor team aspires to develop and deliver market leading products and solutions to exceed client expectations. We think strategically and collaboratively to create mutually beneficial results and achieve business objectives. We operate with high-integrity, motivated by our desire to do the right thing for our clients and their members.
The Claims Examiner III, Creditor Life and Disability adjudicates and manages a caseload of creditor Group Mortgage Protection (GMP) and Monthly Premium over $50,000 (MP) disability and life claims. This role is also responsible for adjudicating and managing claims for other creditor disability products including Loss of Employment (LOE), and where combined coverage exists, Single Premium (SP), Monthly Premium (MP) and Credit Card. This role assesses eligibility for disability and life benefits, develops case management plans, initiates, and implements interventions to minimize claim durations, authorizes and issues disability benefits.
How You Will Create Impact
- Through the review of current and historical medical information assess the initial insurance application to determine if a material misrepresentation (including fraudulent misrepresentation) has been made by the policyholder.
- For policies that are rescinded as a result of misrepresentation, communicate the decision to the appropriate parties including the policyholder.
- Ensure accuracy of, assess and review all information received in support of a new claim.
- Interview claimants, employers, loans officers by telephone prior to making claim decisions.
- Using the information received, the additional information gathered and the resources available and in accordance with policy provisions determine if the claim is payable.
- For each claim, develop and execute a proactive case management plan with the objective of minimizing the disability period.
- Initiate assessments and examinations where necessary.
- Proactively assess and review claims for change of definition including identifying alternative occupations and communicating change of definition decisions.
How You Will Succeed
- You adapt to change and are committed to continuous improvement, in order to exceed client expectations.
- Your strong communication skills allow you to clearly convey messages.
- You’re an effective team player who shares knowledge to support your peers.
To Join Our Team
- Completion of a post-secondary diploma with 2 years customer service experience, 2 years disability claims management experience preferred.
- Medical anatomy College or University equivalent or ICA CI required.
- Completion of LOMA 280 & 290 required.
- ALHC, degree in a related discipline preferred.
- Knowledge of creditor products.
What’s in it for you?
- Training and development opportunities to grow your career.
- A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
Salary information
“Expected salary/hourly range $X - $X” (min-max, full range)
OR
“Salary to be discussed with successful applicants” (where a range is not published)
Salary placement
“The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.”
Incentive/Variable pay
“Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.”
Sales Roles
“Expected salary/hourly range $X - $X (min-max, full range). This role is eligible to participate in a sales incentive plan for additional compensation with an annual target of X%”
OR
“A target range of X% - X%” (agency roles)"
About Co-operators
As a leading Canadian financial services co-operative, Co-operators offers multi-line insurance and wealth products, services, and advice to build financial strength and security. With over $56 billion in assets under management, we provide financial solutions and security through property and casualty (P&C) insurance, life insurance, wealth management, institutional asset management and brokerage operations. We are governed by member organizations, including co-operative organizations, credit union centrals and representative farm organizations.
We are rooted in the idea that together, we are stronger, safer, and more resilient. Our vision to be a catalyst for a sustainable society is reflected in everything we do, including our community investment programs, strategic partnerships, and active volunteerism. We champion and fund the development of community-oriented co-operatives and social enterprises, invest for positive impact, and work hard to contribute to communities across Canada by supporting financial literacy, mental health, flood safety, and sustainability initiatives and programming.
With over 600 locations across the country, over 6,000 employees and a dedicated financial advisor network of over 2,500 licensed insurance representatives, we remain true to our roots: putting the needs of our clients and our communities first.
Our response to COVID-19 As an essential service, we took immediate steps to ensure the health and safety of our people, clients, and communities. We’re following the direction of Health Canada as we roll out a phased return to corporate and local offices across the country. If you have applied for a posted role, a recruiter will be in touch with an update. Currently, all interviews are being conducted remotely.