Agent de règlement

Responsibilities

• Analyzes all information relevant to determining Beneva's obligations: contract provisions, medical proof, non-medical factors, government programs, legislation, internal policies and procedures.
• Contacts all the agents involved in a given file to obtain all relevant information and provides them with the decisions and action plans related to settlement requests.
• Makes appropriate and careful selection and use of internal and external interventions: cases referred to our consulting physicians, the supervisor, a rehabilitation firm, a medical expert, a residual capacities evaluation firm, an investigation firm, a reinsurer, etc.
• Interacts with external agents so that they respect the objectives and budgets provided and makes sure the intervention is progressing well.
• Provides customer service on files assigned to him/her by answering calls from all parties who are involved in the files.
• Develops and implements interventions that reduce the duration of disabilities.
• Interacts with the relevant computer systems to update data and make payments, when applicable, taking contract details and internal directives into account.
• Participates in meetings with policyholders for a critical review of files as required.
• Recommends measures destined to improve the sector's service and productivity performance.
• Proactively acquires and improves knowledge of tools, policies, processes, products and services.
• Carries out certain technical and administrative tasks to support file management.
• Collaborates on specific projects, upon request.
• Carries out any other administrative tasks upon request.

Requirements

• College or University degree, specifically in Administration, Kinesiology or Health sciences is an asset.
• 3 to 5 years of experience in disability claims adjudication and disability claim management within a life insurance company.
• Excellent command of spoken and written English and French
• Strong knowledge of insurance contracts
• Able to work independently and collaboratively at all levels
• Strong organizational skills
• Good analytical, decision-making, and problem-solving skills
• Excellent prioritization skills
• Ability to adapt to change and quickly integrate new knowledge
• Willingness to collaborate in reaching common objectives
• Ability to work under pressure and manage priorities
• #LI-ENG
• #LI-Hybrid
• Beneva souscrit au programme d'accès à l'égalité en emploi et encourage les membres des groupes visés à savoir les femmes, les personnes handicapées, les autochtones et les minorités visibles, à soumettre leur candidature.
• Raison d'être : Les gens sont au cœur de nos actions. Nous les accompagnons dans leurs projets de vie en leur apportant la tranquillité d'esprit et nous contribuons au bien-être de la collectivité.
• Suivez-nous sur Instagram !
• @beneva.ca

Benefits

Additional Information

Titre interne officiel: Agent de règlement Statut: Régulier Sommaire: Are you looking to be a part of a growing and dynamic team within a leading national life insurance company? Beneva Insurance in seeking a disability case manager to manage a mixture of short and long-term disability claims. As a Disability Case Manager, you will be responsible for managing a case load of claims, making decisions on these claims, reviewing medical documentation, building return to work plans, liaising with rehab, and providing excellent customer service to claimants and all other parties involved. Vacancy : 1 Permanent Salary range: $53,590 - $76,200 /year. * This represents the expected hiring range and may not represent the full pay range for the position. The salary offered may be higher than the posted range depending on several factors such as relevant skills, qualifications and experience.

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at beneva? Share your experience