Bilingual Claims Customer Service Representative

Reports to: Manager, Claims
Company: Canadian Premier
Location: Toronto Office


We are currently seeking a full time Bilingual Claims Customer Service Representative position who will assist in performing support functions and diversified tasks in the day-today operations. This role will be responsible for answering incoming customer calls for Life, AD&D, A&H, PTD and Credit Policies. This position reports to Manager, Claims.

  • Answers incoming customer calls regarding claim status and/or requests for claims forms.
  • Learns the elements of claims handling by on-the job training about each element of the claims handling process under direct supervision.
  • Communicates with claimant, verbally and/or in writing.
  • Maintains compliance with all standards, controls, policies and practices as an active participant in the company.
  • Under direct supervision, sets up claims, verifies policyholder information, policy effective date, premium status, and verification of claim eligibility.
  • Support projects and other duties as assigned.
  • Post-secondary education preferred or equivalent work experience
  • Fluent in French and English
  • Knowledge of medical terminology, policy provisions, and provincial regulations
  • Strong interpersonal and communication skills
  • FLHC, FLMI, or ALHC designation is considered an asset
  • Fundamental knowledge of computers and keyboarding skills
  • Pays strong attention to detail, and able to perform different complex tasks simultaneously
  • Possess a thorough knowledge of insurance practices and principles to solve problems
  • Pays strong attention to detail, and makes decisions wisely

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