Bilingual Claims Specialist, Group Benefit Insurance

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Job Title:
Bilingual Claims Specialist, Group Benefit Insurance
Position ID:
J0319-0942
Job Type:
Permanent Full Time
Division:
Plan Benefit Claims
Region:
Ontario
Job Category:
Plan Benefits
Number of Positions:
2
Closing Date:
28/06/2019

Keeping You Moving

Johnson is one of Canada's leading Personal Insurance and Benefits organizations, with a team of approximately 1500 employees across Canada working from Newfoundland and Labrador to British Columbia. We are committed to providing industry leading products and services and to building and maintaining strong customer relationships, leading us to be globally recognized for our service to our customers. We have exciting career opportunities for highly motivated and driven individuals. Embark on a rewarding career by joining our award-winning team!

Johnson Inc is the managing agent for Unifund Assurance Company.

Position Overview:

We currently have an opportunity for a Claims Specialist who is enthusiastic and exhibits excellent organizational skills to work in our Richmond Hill, Ontario office location. Working within our Group Benefits team, you will be responsible for effective claims adjudication, investigation, and issue resolution for Group Health and Dental claims, while providing superior customer service for assigned groups based on our Client Service Agreements.

Who you are

Your enthusiasm is infectious. You challenge the status quo. You find solutions to problems. You go the extra mile to exceed customers’ expectations. You get things done the right way. You represent our brand with passion and pride. You are a team player. You have fun and you make work fun for those working around you.

What you will achieve in this role

• Knowledge of industry standards in order to educate members with respect to their benefits (i.e. Assistive Devices Program, Ontario Drug Benefit Plan, Canadian Life Health Insurance Association, etc.)
• Adjudicate claim based on policy/industry guidelines, and know how to explain payments, declines, etc.
• Investigate complex claims by referring to government programs, manuals, underwriter.
• Logged onto a busy phone queue while at the same time process Extended Health Care, Semi-Private Hospital and Dental claims.
• Make outbound calls to providers and members to assist in claim resolution.
• Identify when the system has paid a claim differently from how the policy dictates.
• Quality and quantity of work is monitored against set key performance indicators

What you bring to this role

• 2+ years’ experience in Group Benefit Claims or Administration is an asset
• Bilingual, English and French is a requirement
• Experience dealing with customers with the ability to exhibit patience and express sincere empathy
• Excellent written and verbal communication skills
• College diploma or University degree preferred
• Superior organizational and computer skills
• Must be detail-oriented and able to problem solve in a fast paced environment
• Ability to remain focused while handling multiple tasks at the same time.
• Advanced Alpha & numerical keyboarding skills with accuracy
• Be present and an active contributor to the team

Other Information

Applicants agree that by providing personal information in response to this ad, and otherwise in any recruitment process with RSA or its affiliated companies (the “Company”) such personal information may be retained and used for a period of one (1) year from the date of this application, for the purpose of consideration for employment opportunities which may arise during that time period, unless an applicant notifies the Company to the contrary.

We thank all applicants. However, only those selected for an interview will be contacted.

We invite you to learn more about us at our Career Site, www.rsagroup.ca, where you can apply on line.

RSA group of Companies is strongly committed to diversity and welcomes applications from visible minority group members, women, Aboriginal persons, and persons with disabilities, members of the LGBT community, and others who may contribute to the further diversification of ideas.

RSA group of Companies will provide reasonable accommodation for qualified individuals with disabilities in the job application process.

If you have difficulty using our online application system and you need an accommodation due to a disability, please email AODA2@JOHNSON.CA or call us at toll free 1 (800)-855-0511. Please note this email is only for accommodation requests. Resumes sent to this email address will not be considered.

Applicants agree that by providing personal information in response to this ad, and otherwise in any recruitment process with RSA or its affiliated companies (the “Company”) such personal information may be retained and used for a period of one (1) year from the date of this application, for the purpose of consideration for employment opportunities which may arise during that time period, unless an applicant notifies the Company to the contrary.

Johnson is an equal opportunity employer. We thank all applicants for their interest. However, only those selected for an interview will be contacted.