Our client is currently looking for a Case Manager to handles a number of benefit claims for LIFE, CRITICAL ILLNESS and STD/ LTD insurance.
Analyzes all information relevant to determining obligations: contract provisions, medical proof, non-medical factors, government programs, legislation, internal policies and procedures.
Make appropriate and careful selection and use of internal and external interventions: cases referred to our consulting physicians, the supervisor and a medical expert
Provides customer service on files assigned to him/her by answering calls from all parties who are involved in the files.
Interacts with the relevant computer systems to update data and make payments, when applicable, taking contract details and internal directives into account.
Occasionally participates in meetings with policyholders for a critical review of files.
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.
One year of experience in LIFE CRITICAL ILLNESS, STD/LTD disability
BILINGUAL ENGLISH/FRENCH Strong verbal and written communications skills
Enrolement in LOMA is a definite asset
ACS or CEC in business administration
University certificate in administration