New job at Combined Insurance | a Chubb company (via Jobs.ca) | Jobs.ca
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Bilingual Senior Claims Adjuster

January 10 2020
Industries Bank, Insurance, Financial services
Categories Bank, Insurance, Financial Services
Markham, ON

PRIMARY DUTIES

  • Adjudicate contested and complex accident, life, critical illness, cancer, and sickness disability claims.
  • Approve, deny, or inquire further for necessary information from claimants, doctors or hospital to assess claimant’s eligibility for benefits.
  • Interprets and administers policy provisions including, but not limited to eligibility, definition of total disability, and pre-existing investigations.
  • Review incoming correspondence concerning existing claims.
  • Review and make decisions for policy rescission, after discussion with underwriting. Adjudicate contested and complex accident, life, critical illness, cancer, and
    sickness disability claims..
  • Approve, deny, or inquire further for necessary information from claimants, doctors or hospital to assess claimant’s eligibility for benefits.
  • Interprets and administers policy provisions including, but not limited to eligibility, definition of total disability, and pre-existing investigations.
  • Review incoming correspondence concerning existing claims.
  • Review and make decisions for policy rescission, after discussion with underwriting.
  • Refer files for special investigation if required.
  • Other duties as required.

QUALIFICATIONS REQUIRED

  • Minimum high school education or college diploma
  • Minimum 3 - 5 years of claims adjudication experience;
  • Must have Individual disability experience
  • Must be Bilingual (Fluent in French and English);
  • Good communication skills, both verbal and written;
  • Mathematical skills - Aptitude for figures;
  • Ability to make good decisions and use sound judgment;
  • Strong knowledge of medical terminology
  • Insurance courses such as LOMA and HIAA
Apply now!