Senior Process Associate- French

Main Accountabilities:

• Assess the documentation received for a claim in order to reach a decision
• Determine how the contract applies to each claim
• 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
• Act as a technical expert for clients, claims adjudicators, risk management and underwriters
• Identifying complaints, acting upon them and resolving them in line with problem resolution guidelines

Core Competencies:

• Minimum 3 years in life claims adjudication
• Experience handling claims related to Health and Dental
• In depth insurance technical knowledge
• Confident and influential communicator in French and English with the ability to negotiate at all levels
• Excellent French written and verbal communication skills with an ability to handle written inquiries of a sensitive nature
• Strong problem solving and analytical skills
• Attention to detail
• Team player with a positive attitude and commitment to provide quality service
• The ability to build and manage cooperative and productive relationships
• Solid PC skills with knowledge of Word, Outlook and Excel

Requirements:

• College diploma/university degree/CEGEP degree or relevant experience
• Fluent in both French and English
• In pursuit of LOMA, HIAA and ICA courses.