Temporary position for 12 months.
As a claims technician, you help process life and health insurance claims, promote occupational health and manage disabilities. You provide discipline-specific technical support and help your unit carry out its activities, initiatives and processes in accordance with established policies and procedures. You support your unit's more experienced employees and assist with technical work and analysis involving processes, information management and data processing. The ability to tailor your approach as needed and make sound decisions is therefore essential. More specifically, you will be required to:
Process claims in accordance with the contractual clauses of the insurance policy. Escalate more complex claims to another processing level, if applicable.
Establish the benefit amount, determine the payable period (for PTD: integration), proceed with payment and carry out the necessary follow-up (e.g., close the file or continue making payments).
Assist insureds with the CPP or QPP application process.
Calculate and be able to explain deductions and negotiate reimbursements if necessary.
Speak with and write to partners, professionals and clients to obtain and provide information, justifications and interpretations.
Communicate with claims management offices across the country (Levis, Montreal, Toronto, Calgary and Vancouver).
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