Claims Adjudicator - Waterloo, Canada - Sun Life

Sun Life

Verified Company

Waterloo, Canada

3 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self.

You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you.

Your leaders will inspire and help you reach your potential and soar to new heights.

Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do.

Discover how you can make a difference in the lives of individuals, families and communities around the world.

The Claims Center of Excellence department plays a crucial role with our clients, advisors, sponsors and members as we offer them financial help when they most need it.

We are looking for a motivated individual who is eager to hold a position as a Long Term Care Claims Adjudicator OR Senior Claims Adjudicator depending on experience and knowledge.

The position offers the possibility to progress internally through our career ladder.

As a Long Term Care Claims Adjudicator OR Senior Claims Adjudicator you are in charge of primary assessing Long Term Care claims in your authority.

Main Accountabilities:

Determine how the contract applies to each claim
Assess claims and medical documentation received for a claim in order to reach a decision
Communicate clearly and proactively with clients, advisors and various professionals and effectively manage their expectations
Maintain established service standards
Evaluate opportunities for process improvements and actively participate in team initiatives and projects

Competencies:

Excellent written and verbal communication skills with an ability to handle written and telephone inquiries of a sensitive nature
23 years in a claims environment
Attention to detail
Team player with a positive attitude and commitment to provide quality service
Ability to balance high work volumes and telephone inquiries
Good organizational and timemanagement skills
Strong problem solving and analytical skills

Requirements:

Solid PC skills
As this position is posted in several locations, we specify that bilingualism (French, English, both oral and written) is required for Quebec only to answer calls from English and Frenchspeaking clients across Canada or worldwide.
Experience in a claims environment
ALHC diploma or dedication to work towards attaining it.

Assets:

Education involving knowledge of Medical terminology
College diploma/university degree/CEGEP degree or relevant experience
Client service experience

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work.

Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.

Salary Range:

41,700/ ,000/68 000

Job Category:

Claims - Life & Disability

Posting End Date:

20/05/2023