Claims Examiner (18 months contract)

What we do every day to be our very best

Every day at Securian Canada means a day spent helping Canadians and their families build secure tomorrows. Were agile and innovative and we arent afraid to challenge and create or bring diverse perspectives to our work.

Who we need

The Claims Examiner will be responsible for evaluating claims and determining benefit eligibility by analyzing contractual terms alongside medical and functional information. You will be required to apply established processes and ensure decisions are aligned with policy requirements. By adhering to internal and external guidelines you will deliver timely and accurate decisions while maintaining a high standard of service for all stakeholders.

The base salary range for this position is between $55000 to $65000 depending on experience. Details of our additional benefits are outlined below. This job posting is for an existing vacancy. Only one position is available. However it may be based in multiple locations: Toronto (ON) or Waterloo (ON) or Montreal (QC).

We use artificial intelligence tools in our recruitment process to help with application review and improve the efficiency of our assessments. These tools are used responsibly and do not replace human decision-making as we continue to manually review all applications.

What you will do

• Responsible for assessing claims for benefit by reviewing contractual medical and functional information and in accordance with certificate provisions adhering to established routines and processes for our various clients;
• Follow up with diligent communications with the different stakeholders to obtain or provide information regarding claim status and reasoning and complete reporting as required;
• Thoroughly document the analysis according to Securians policies and processes;
• Effectively manage an active caseload in accordance with client service standards and best practice guidelines and established KPIs and TATs;
• Contribute to and foster a positive and dynamic working environment by supporting team members and through collaboration to department project work and with plan members plan sponsors and other stakeholders to ensure service standards are met;
• Learn and apply tools and technology that support continuous improvement by identifying opportunities to improve processes and customer service delivery and adapting to changes as improvements are implemented;
• Perform other related duties as assigned.

What you will bring

• Post-secondary education preferred or equivalent work experience;
• Fundamental knowledge of Microsoft suite of products;
• Prior claims experience preferred;
• Medical experience obtained through claim assessing underwriting nurse/health profession and medical terminology;
• Strong analytical skills combined with a thorough knowledge of insurance practices and principles enabling wise problem-solving;
• Strong attention to details with a dedication to accuracy and high-quality service;
• Stellar interpersonal and communication skills both written and verbal;
• Ability to professionally manage stressful situations and to deliver difficult news in a tactful and empathetic manner;
• Ability to multitask with complex aspects while respecting different timelines of delivery while focused on positive outcome for all stakeholders;
• Positive attitude contributing to positive morale and team spirit.

Why join

When youre a part of Securian Canada youre a member of an agile and innovative high-performing bright-thinking make-things-happen culture so that together we can discover the art of possible.

At our company we see your potential on day one and challenge you to grow your unique strengths as you create a career filled with opportunity collaboration and purpose.

Youll also be part of a team thats committed to diversity equity and inclusion and who values diverse perspectives so that you can be the person you want to be both in and outside work.

Securian Canada offers a competitive total rewards program with a variety of perks and benefits including:

• Flexible work arrangements with monthly financial allocations to support your work-life balance;
• Generous starting paid vacation time plus additional vacation days for every year of service;
• Paid volunteer day so you can dedicate time to a cause you are passionate about;
• Paid personal and wellness days to support your total wellbeing;
• Educational assistance of up to $3500 a year (with approval from your manager);
• Flexible health and wellness account (in addition to comprehensive drug and dental coverage) to help pay for a wide range of wellbeing services that are meaningful to you;
• Up to 14% of combined contributions to the RRSP matching program;
• Family-friendly maternity/parental leave and
• Many more benefits perks and programs.

If you have at least 70% of the qualifications were looking for want to work in a fast-growing leading and progressive company and feel driven to help Canadians and their families build secure futures we want to hear from you!

Take the first step in building your future with Securian Canada. Apply now.

Securian Canada is committed to providing a barrier-free work environment and equal access to employment for all qualified applicants. As such upon request Securian Canada will work with applicants that require reasonable accommodations during the recruitment process. Please contact for accommodation requests. All information shared during any accommodation request process will be stored and used only in a manner that is consistent with applicable laws and Securian Canada/Canadian Premier Life Insurance Company policies.

Employment Type : Full-Time
Experience: years
Vacancy: 1
Yearly Salary Salary: 55000 - 65000