Bilingual Claims Care Analyst

Remote Full-time
Securian Canada is dedicated to helping Canadians and their families build secure tomorrows. As a Bilingual Claims Care Analyst, you will evaluate insurance claims and ensure efficient, equitable claims handling while maintaining high standards of quality and compliance.ResponsibilitiesEvaluate claims to determine eligibility for benefits by reviewing all relevant documentation, including contractual, medical, functional capacity, and occupational information, in accordance with established procedures and policy provisionsEffectively manage an active caseload while ensuring compliance with customer service standards, best practices, performance metrics, and processing timelinesDocument claims analyses thoroughly and maintain accurate records in accordance with company policies and proceduresCommunicate professionally and empathetically, both verbally and in writing, to inform stakeholders, clarify claim statuses, and explain decisionsConduct in-depth telephone interviews with clients or involved parties to gather information and discuss claim outcomesIdentify required supporting documentation for current or future benefit payments and ensure diligent follow-up to obtain necessary informationCollaborate with team members, plan sponsors, and other stakeholders to uphold service standards and contribute to a positive and dynamic work environmentActively participate in departmental projects and continuous improvement initiatives by identifying opportunities to optimize processes and adapting to changeSkillsPost-secondary education or equivalent work experienceMinimum of one (1) year of experience in insurance claims adjudication, particularly in life, disability, and critical illnessStrong analytical and problem-solving skills, with attention to detail and a commitment to delivering high-quality serviceStrong proficiency in English, required to communicate with clients and colleaguesProficiency in French to communicate with clients and/or colleagues in QuebecAbility to conduct sensitive telephone interviews with tact and professionalismProficiency in Microsoft Office Suite (Word, Outlook) and claims management systemsAbility to manage multiple priorities simultaneously and meet varying deadlinesProfessionalism under pressure, with the ability to handle stressful situations and communicate difficult decisions with empathyPositive attitude, strong team spirit, and adaptability to organizational changeA college diploma (DEC) in a relevant field is considered an assetProfessional designations such as FLHC, FLMI, or ALHC are an assetMedical knowledge acquired through claims adjudication, underwriting, or experience in a medical or paramedical field is considered an assetBenefitsFlexible work arrangements with monthly financial allocations to support your work-life balanceGenerous starting paid vacation time, plus additional vacation days for every year of servicePaid volunteer day so you can dedicate time to a cause you are passionate aboutPaid personal and wellness days to support your total wellbeingEducational assistance of up to $3,500 a year (with approval from your manager)Flexible health and wellness account (in addition to comprehensive drug and dental coverage) to help pay for a wide range of wellbeing services that are meaningful to youUp to 14% of combined contributions to the RRSP matching programFamily-friendly maternity/parental leaveMany more benefits, perks and programsCompany OverviewSecurian Canada offers loan protection, personal protection, life insurance, accident insurance, and critical sickness insurance services. It was founded in undefined, and is headquartered in Toronto, Ontario, CAN, with a workforce of 201-500 employees. Its website is https://www.securiancanada.ca.



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