Claims Examiner

Job Locations CA-MB-Winnipeg
Posted Date 1 week ago(11/21/2022 1:01 PM)
Job ID
2022-24341
Job Location 1 : Location
CA-MB-Winnipeg
Company
Canada Life Assurance Company
Job Category
Insurance
Job Type
Full Time
Job Industry
Financial Services and Banking, Insurance
Career Level
Experienced
Posted End Date
12/6/2022

Job Description

Adjudicate Disability Waiver claims in accordance with sound adjudication practices and the terms of the actual policy. This will result in satisfactory morbidity experience while maintaining good relations with our field force and policyholders. This job has the potential of directly affecting our marketing efforts and our position in the marketplace.

 

What you will do 

  • Adjudicating ongoing Canada Life individual disability insurance claims. These ongoing/long term disability claims are cases we have been paying benefits for more than 5 years. Will also manage waiver only claims.
  • Assess the various policy provisions and the medical condition causing disability. Develop the claim file by assessing various factors (occupation, finances, medical, etc.) required to assess the disability.
  • Review all information when received and arrive at a decision to either accept, deny or continue with benefits. This involves researching the medical condition, consulting if required, the medical board, product actuary, legal counsel, accountant, peers, superiors and psychiatric consultant. Decision must be documented clearly for legal, audit purposes and privacy issues.
  • Communicate by email, telephone, letter, etc. with policyholders, office staff, physicians, hospitals, agents, brokers, lawyers, for the purpose of requesting information, explaining and defending claim policies and guidelines. Most information communicated is of a very sensitive nature where the potential for much friction exists.
  • Projects (surveys, research, etc.) as assigned.

What you will bring 

  • Good understanding of a computer and word processing application
  • Good organization skills
  • Good analytical skills
  • Excellent verbal and written communication skills in English, French would be an asset 

Be your best at Canada Life- Apply today!

 

Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success.

 

You can be your best here. You’re part of a diverse and inclusive workplace where your career and well-being are championed. You’ll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences.

 

Together, as part of a great team, you’ll deliver on our shared purpose to improve the well-being of Canadians. It’s our driving force. Become part of a strong and successful company that’s trusted by millions of Canadians to do the right thing. 

 

We are one of Canada's top 100 employers!

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Canada Life serves the financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we’re one of Canada’s leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations. 

 

We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential. 

 

Canada Life would like to thank all applicants, however only those who qualify for an interview will be contacted 

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