Intermediate Claims Adjuster Job in Markham for Combined Insurance | a Chubb company | Jobs.ca
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Intermediate Claims Adjuster

April 9 2021
Industries Bank, Insurance, Financial services
Categories Accounting, Finance, Bank, Insurance, Financial services, 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

    • Minimum high school education or college diploma
    • Minimum 3 years of claims adjudication experience;
    • 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!