Claims Examiner, Group Life and Disability ClaimsFirst Canadian Financial Group • Sherwood Park, AB, CA

Les candidatures ne sont plus acceptées

Claims Examiner, Group Life and Disability Claims

First Canadian Financial Group • Sherwood Park, AB, CA

Il y a 10 jours

Type de contrat

Temps plein

Description de poste

Job Details

First Canadian is a national organization and we are experiencing unprecedented growth! We aim to hire bright, hard-working people who share our values. We seek employees who are committed to learning, career growth, and opportunity. We take pride in being an organization that our employees support long-term. We believe in our employees and celebrate their success by asking for employee opinions and feedback so that we continue to be a Great Place to Work.

We Award Our Team With The Following

Off work 1 hour early on Fridays.
Earned Time-Off Program and vacation.
Group Retirement Savings Plan with employer match.
A hybrid work model is available upon successful completion of probation.
On-site gym including free weekly classes with a qualified trainer.
Newly renovated facility with ergonomic desks / chairs.
Educational assistance and career development.
Employee benefits.
Health and Wellness spending account.
Employee Assistance Program (EAP).
Employee discount programs.
A Culture Team dedicated to diversity, inclusion, and employee programs.
Employee recognition and appreciation events.
French is not required for this role but is an asset, an uplift of 5% is applied after the probationary period for qualified professional level French bilingualism (both spoken and written).

Check out our company page for all the information on why we believe First Canadian is an employer of choice!

If you are motivated to succeed by helping people, then this is the opportunity for you!

The Group Life & Disability Benefits, Claims Examiner – Alberta reporting to Manager, Group & Creditor Life & Disability Claims is based in Sherwood Park. This position is responsible for managing group benefit claims to resolution. This includes determining if the plan members are eligible for benefits, providing appropriate benefit payments, and implementing the right medical and vocational interventions to support recovery and return to work for approved claims.

Essential Responsibilities

Assessing entitlement under the Group Benefit Program by reviewing and comparing contractual, medical, functional and occupational provisions.

Conduct functional telephone interviews to understand the scope of the disability, the effect on daily living, assess and identify medical and non-medical influencing factors that may prevent a return to work.

Ensure compliance of optimal medical treatment to ensure a safe and early return to work.

Facilitate and monitor outcome-focused case management plans.

Partner with Employee, Employer, and treating physicians to negotiate and implement modified / gradual Return to Work Programs.

Enroll and facilitate appropriate vocational and / or rehabilitation services, where appropriate.

Validate beneficiary recipients; Calculate and release initial and ongoing benefit payment.

Assess ongoing entitlement per Group Policy provisions.

Communicate directly with employee, employee representatives, employers, and medical professionals (verbally and in writing).

Rapport building with employees, employers and medical professionals and ability to maintain professional relationships.

Delivering an exceptional customer service experience to all employees to which they are assigned as the Claims Examiner.

Acquire supporting claims documentation through contact and correspondence with employee and employers, medical practitioners, healthcare agencies, pharmacies.

Define extent of FCIC financial liability for any assigned claim; complete timely and appropriate data updates to manage financial reserve adequacy for the duration of claim.

Adhere to all established operational procedures for adjudication of all claims.

Draft professional external correspondence and as necessary reference technical Group Policy language and claim entitlement rationale on all claims files.

Maintains highly accurate and detailed case notes of all employee contacts, claims activities, and issues affecting ongoing management of the claim to satisfy regulatory and legal compliance requirements.

Other Duties as assigned.

Qualifications

Minimum of 1 year college Certificate / Diploma in Business / Insurance / Legal / Risk is required.

Other academic equivalencies is an asset.

Medical Terminology / Transcription Certificate, or Medical Office Assistant Certificate, or Unit Clerk considered is an asset.

Minimum of 1-2 years of relatable work experience is preferred in an Insurance, Medical, Legal or Service Call Center setting.

Intermediate skill with Microsoft Office (Word / Excel) is required.

Previous claims adjudication experience is an asset.

Fluent in English with proven competencies in verbal and written communication is required.

Fluent in French with proven competencies in verbal and written communication is an asset.

Successful completion of a credit check, criminal background check, education verification and employment reference checks is required before employment.

Thank you for considering our organization.

We are an equal opportunities employer and welcome applications from all suitably qualified persons. Accommodations are available upon request.

#J-18808-Ljbffr

Créer une alerte emploi pour cette recherche

Claims Examiner Group Life and Disability Claims • Sherwood Park, AB, CA

Offres similaires

Claims Analyst

Avenue Living • Edmonton

Temps plein

Avenue Living Asset Management is dedicated to sourcing, analyzing, and strategizing long‑term investments.Our unique approach has led to rapid growth across North America now representing one of C...Voir plus

Dernière mise à jour : il y a 13 jours • Offre sponsorisée

Accounting Private Tutoring Jobs Beaumont (Alberta)

Superprof • Beaumont (Alberta), Canada

Temps plein +1

Superprof is Canada's #1 tutoring platform, and we're actively recruiting passionate tutors! Whether you're a student, a professional, or simply someone who loves teaching, join the largest communi...Voir plus

Dernière mise à jour : il y a plus de 30 jours • Offre sponsorisée

Statistics Private Tutoring Jobs Beaumont (Alberta)

Superprof • Beaumont (Alberta), Canada

Temps plein +1

Dernière mise à jour : il y a plus de 30 jours • Offre sponsorisée

Claim Manager

Empire Life • edmonton, ab, ca

Temps plein +2

Location : Remote, or if local to an office, hybrid - Kingston, Toronto, or Montreal.The total target compensation (TTC) range, including salary and target bonus, is $55,968 - $98,580.This TTC range...Voir plus

Dernière mise à jour : il y a plus de 30 jours • Offre sponsorisée

Director, Claims

Peace Hills Insurance • Edmonton

Temps plein +1

We currently have an opening for a permanent Director of Claims based out of our Edmonton office.As a key member of the Senior Management team, reporting to Vice President of Claims, the Director o...Voir plus

Dernière mise à jour : il y a 12 jours • Offre sponsorisée

Senior Claims Specialist – Management Liability Professional

Aviva Canada • Edmonton

Temps plein

Senior Claims Specialist – Management Liability Professional.Individually we are people, but together we are Aviva.Individually these are just words, but together they are our Values – Care, Commit...Voir plus

Dernière mise à jour : il y a 13 jours • Offre sponsorisée

Uber eats • Beaumont, AB, CA

Temps plein +2

Dernière mise à jour : il y a plus de 30 jours • Offre sponsorisée

Hybrid Member Claims & Digital Experience Specialist

ABC Benefits Corporation • Edmonton

Temps plein

A health benefits organization in Canada is seeking a Business Specialist for Member Claims and Digital Interface.The role involves leading corporate projects to enhance customer experience and man...Voir plus

Dernière mise à jour : il y a 3 jours • Offre sponsorisée