Claims Examiner - Insurance and Financial Services
Location: Quebec, Canada
Salary: $87,000 per year
Job Type: Full-Time
About Us:
We are a leading provider of insurance and financial services in Quebec, dedicated to offering comprehensive solutions and exceptional service to our clients. We are seeking an experienced and detail-oriented Claims Examiner to join our team. This role is crucial in ensuring the fair and accurate processing of insurance claims, helping our clients navigate the claims process with confidence and clarity.
Role Overview:
As a Claims Examiner, you will be responsible for reviewing and analyzing insurance claims to ensure they are handled accurately and in accordance with company policies and regulatory guidelines. You will work closely with claims adjusters, policyholders, and other stakeholders to evaluate claims, make determinations, and recommend settlements.
Key Responsibilities:
- Examine and process insurance claims by reviewing documentation, conducting investigations, and applying policy coverage.
- Analyze and evaluate the legitimacy of claims, ensuring all relevant information is considered and verified.
- Determine claim eligibility and make recommendations for payment, denial, or further investigation based on policy terms and conditions.
- Communicate with claimants, adjusters, and other involved parties to gather additional information or clarify details as needed.
- Ensure compliance with company policies, industry regulations, and legal requirements throughout the claims process.
- Prepare detailed reports and documentation to support claim determinations and provide insights to management.
- Collaborate with underwriters, legal teams, and other departments to resolve complex claims and address any issues that arise.
- Stay updated on industry trends, regulatory changes, and best practices in claims examination and insurance.
Qualifications:
- Proven experience as a Claims Examiner, Claims Adjuster, or in a similar role within the insurance or financial services industries.
- Strong understanding of insurance policies, claims processes, and regulatory requirements.
- Excellent analytical and problem-solving skills, with the ability to assess complex information and make informed decisions.
- Proficiency in using claims management systems and standard office software.
- Bachelor’s degree in Insurance, Business Administration, or a related field is preferred, though relevant experience will also be considered.
- Strong communication and interpersonal skills, with the ability to interact professionally with clients and colleagues.
- Attention to detail and organizational skills, with the ability to manage multiple claims and deadlines simultaneously.
- Bilingual proficiency in French and English is highly desirable.
Why Join Us?
- Competitive annual salary of $87,000.
- Opportunity to play a key role in the claims process within a reputable and growing organization.
- Supportive and dynamic work environment with opportunities for professional growth and development.
- Comprehensive benefits package, including health, dental, and retirement plans.
How to Apply:
Interested candidates should submit their resume and a cover letter detailing their qualifications and experience to [Your Contact Email] with the subject line “Claims Examiner - Insurance and Financial Services Application.”
FOR MORE INFO EMAIL US ; Dwoi@gmail.com
