Bilingual Claims Administrator

Career Opportunity

Role Title

Purpose of role

Job Description

Key Responsibilities

• Manage the claim notification process: including updating various systems and maintaining the claims register, sending out claim requirements and regular ongoing follow up for outstanding requirements
• Answer inbound claims status related calls from members, producers and others
• Proficiently determine the needs of the caller then provide accurate and timely resolution
• Display high energy, passion and a positive attitude
• Meet tight timelines under pressure while delivering quality service
• Own the results, share work experiences and willingly seek and accept personal accountability 
• Continuously learn about customers, their priorities and their expectations
• Take ownership and responsibility for resolving customer concerns with every interaction
• Be flexible, personally embrace change and commit to continuous learning
• Support the organization’s and the Claims Team’s key priorities
• Demonstrate leadership, model customer service values and drive quality and process optimization
• Manages business needs through entry level project and analysis work while assigning a high priority to customer excellence, quality and meeting service level agreements
• Communicate verbal and written information as appropriate to those with a need to know, ensuring information is clear, accurate and compliant with all legal, privacy, confidentiality and company standards
• Perform all required calculations and ensure all activities are in compliance with reinsurance treaties, legal and internal standards, including timely submission of information to the reinsurance companies and of the various tax information forms to government offices
• Assist other team members to ensure that the team meets objectives
• Create ad hoc correspondence and reports for members, producers and external partners
• Communicate with various Reinsurance Companies regarding the submission of claims under various reinsurance treaties, including the recovery of reinsurance funds owing on paid claims
• Receive, verify and match claims benefit cheques to be mailed to claimants
• Meet service level agreements and achieve productivity and quality standards
• Deal with customer complaints defined in company guidelines
• Meet privacy and compliance guidelines.

Key Qualifications

• Must be fully bilingual (French & English) in written and oral communication. Spanish would be considered an asset
• Self-starter with demonstrated ability to prioritize own work and ability to research/problem solve and make decisions both independently and collaboratively within a fast-paced team environment
• Must be proficient in both verbal and written communication to effectively communicate with internal and external customers/partners and vendors
• Understanding of insurance products, services, systems and regulatory requirements, with the ability to recognize discrepancies, anomalies and inconsistencies
• Results-oriented with emphasis on accuracy and attention to detail and the ability to understand and balance both the short and long-term impact of decisions and actions
• Effective multi-tasking and time management skills, including the ability to adapt to changing demands and priorities
• Strong organization skills to effectively monitor and track information with quick ability to learn and leverage new technologies
• Strong reasoning and judgment to balance commitments, financial soundness and quality customer focus
• Creative problem-solving skills to resolve transactions and has an interest in research and problem solving
• Mathematical skills needed for calculation of benefits, taxation and reinsurance
• LOMA 281 and 291 courses an asset
• Post-secondary education preferred and/or related work experience (minimum 1 year work experience)

The role requires flexibility with working hours between 9:00 a.m. and 6:00 p.m., Monday to Friday on a rotational basis. 
Flexibility for periodic weekend shifts and statutory holidays may also be required to support changing conditions, customer demand, and business needs.

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Equal Opportunity Employment and Inclusion – at Foresters Financial, we are committed to sustaining an equal opportunity environment for all job applicants. We embrace Inclusion, Diversity and Equity (IDE) as a core strategic objective for building strong, innovative teams in which all our employees can show up wholly and authentically as themselves.

Foresters Financial strives to provide an accessible candidate experience for prospective employees with different abilities. If you anticipate needing any type of accommodations during the recruitment process, please email accommodations@foresters.com in advance of your appointment.

Thank you for choosing Foresters. Only those candidates who will be selected for further consideration will be contacted by our Talent Acquisition Team.