Individual Claims Adjudicator

Position Title: Individual Claims Adjudicator
Reports To:  Manager, Specialized Client Care
Department: Individual Claims
Term: Permanent Full-Time


Work Arrangements: This is a hybrid role. You will work in our office in Waterloo, ON a minimum of two (2) assigned, consecutive days every other week, plus a fifth (5th) assigned day per month. You are welcome to work from the office more than the minimum requirement and there may be some roles that are required to work in our office more than the minimum requirement.


The Opportunity: We're looking for an experienced Claims Adjudicator to join our Individual Claims team. Make a difference by applying your knowledge and experience in the adjudication of Life Insurance, Critical Illness, Death and Disability claims. This is an excellent opportunity to work for one of the Waterloo Area’s and Southwestern Ontario’s Top Employers for 2024!


What you will be doing:

• Gather and review all information necessary to adjudicate and pay all claims
• Review and analyze medical information for Critical Illness, Death and Disability claims
• Make independent and objective decision to determine insured’s/claimants’ eligibility for benefit payment
• Interact frequently with internal partners including: Underwriting, Medical Director, Legal and Compliance to resolve complex claim matters in the best interest of our Clients
• Co-ordinate and participate on Special Projects within the Department and cross-functionally as needed
• End to end ownership of claims including proactive updates with the claimant, claim set up, and proactive follow-up for requirements

 
 
What you will bring:

• Exceptional client care skills including empathy
• Knowledge of medical terminology, and experience in the interpretation of medical information
• Knowledge of insurance contracts, acquired through previous insurance industry experience
• Excellent verbal and written communication skills
• Working knowledge of Microsoft Suite
• Strong attention to detail and solid prioritization skills with experience managing competing priorities
• Bilingualism in written and spoken French is an asset 
• Knowledge of Equitable insurance products and administration systems is also a definite asset

 

What’s in it for you:

• A healthy work-life balance with employee wellness top of mind
• Annual bonus program, annual vacation allowance, and company-paid benefits program
• An additional paid volunteer day each year so you can spend time giving back to the community
• Immediate enrollment in the company’s pension program with employer matching
• Employee resource groups that support an inclusive work environment
• Tuition support and specialized program assistance
• An onsite, full-service cafeteria with a variety of daily options
• Discounts on company products and services, and access to exclusive employee perks
• Regular EQ Together events focused on company togetherness and collaboration

As part of the recruitment/offer process you will be required to:

• Provide two professional references (minimum one supervisor and above)

This role is open due to an existing vacancy.

To learn more about Equitable, we encourage you to explore our organization.

At Equitable, we are committed to providing equal access to employment opportunities across our organization. Please contact our HR team at careers@equitable.ca if you would like to receive our job postings in an alternative format or require an accommodation with the application process.

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