Team recruiter


Bilingual Benefits Claim Processor (CAPSIL Exp.)

Reference id:948057
Posted on: 4/3/2024
  Location: Toronto, ON - Hybrid (1 day a week in office)

Job Description

One of our major banking clients is looking for Bilingual Benefits Claim Processor (CAPSIL Exp.)
Length: 4.5 months contract with the possibility of extension
Location: Toronto, ON - Hybrid (1 day a week in office)
Working Hours: Monday to Friday, 8:30 am - 5:00 pm
LOB: Wealth Management (Claims)

'The start date of this job is flexible and in order to find the best candidate the job may remain open much longer than the date mentioned on this posting... or you may be asked to start sooner than the expected start date if you are able to do so !'

Please read the job description below. If this interests you, please send a MS-Word version copy of your resume (ASAP) along with a telephone contact number: E-mail to padhikari@teamrecruiter.com

Please mention the job title above in the subject line
The recruiter in charge of this role is Prakash

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Requirements:
ROLE MANDATE:
The selected candidate(s) will provide accurate and professional service by telephone, or e-mail. They will assist in processing death claim benefits to applicable beneficiaries. They will support administrative requirements to ensure the smooth operation of the unit.

ROLE RESPONSIBILITIES INCLUDE (but are not limited to):
 Adjudicate assigned death benefit claims (20+ per day), including investigating claim details to determine validity, and communicating decisions verbally and in writing as required, and signing to release payments
 Process death benefit claims to appropriate beneficiaries via CAPSIL
 Manages assigned case load in an effective manner, escalating any issues or concerns, to ensure ongoing effective claim operations
 Manage claim requirement follow ups (via email, phone, or letter writing)
 Addresses any claimant or policyholder issue as part of the conversation, escalating as required for any complaint situation
 Follows established policies & procedures including authority and signing authority to manage the risks inherent in claims operations and escalate any issues or concerns
 Participates in quality reviews addressing any issues identified to help reduce risk inherent in claims operations.
 Broader work or accountabilities may be assigned as needed
Qualifications:
MUST-HAVE SKILLS:
 1+ yr relevant claims processing experience (open to entry level)
 Bilingual (French/English)
 Post secondary degree required
 Proficient in MS Office and tech savvy
 Ability to multi-task
 Ability to keep information organized and confidential
 Ability to work independently and manage one's time
 Verbal & written communication skills - Good
 Detail oriented
 Previous experience in a high-volume setting
 Previous office (insurance or banking) experience a nice to have
 Medical terminology course nice to have
 Experience with CAPSIL an asset


Please note that this is the most up to date version of job description available at this time - During Client Interview you will receive additional information - variance may apply !

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