Position Title: Bilingual Claims Specialist Duration: 6 Months Working Hours: 8:30am – 5pm Working Location: 60 Yonge St – Hybrid (in office Wednesdays). Please note team will be moving to 250 Yonge St. in June and in office days will then be Monday/Thursdays.
Role Mandate: The selected candidate(s) will provide accurate and professional service by telephone, or e-mail. They will assist in processing death claim benefits to applicable beneficiaries. They will support administrative requirements to ensure the smooth operation of the unit.
Role Responsibilities Include (but are not limited to):
Adjudicate assigned death benefit claims (20+ per day), including investigating claim details to determine validity, and communicating decisions verbally and in writing as required, and signing to release payments.
Process death benefit claims to appropriate beneficiaries via Capsil.
Manages assigned case load in an effective manner, escalating any issues or concerns, to ensure ongoing effective claim operations.
Manage claim requirement follow ups (via email, phone, or letter writing).
Addresses any claimant or policyholder issue as part of the conversation, escalating as required for any complaint situation.
Follows established policies & procedures including authority and signing authority to manage the risks inherent in claims operations and escalate any issues or concerns.
Participates in quality reviews addressing any issues identified to help reduce risk inherent in claims operations.
Broader work or accountabilities may be assigned as needed.
Must-Have Skills:
1+ yr relevant claims processing experience (open to entry level).
Bilingual (French/English)
Post secondary degree required.
Proficient in MS Office and tech savvy.
Ability to multi-task.
Ability to keep information organized and confidential.
Ability to work independently and manage one’s time.
Verbal & written communication skills – Good
Detail oriented.
Previous experience in a high-volume setting.
Previous office (insurance or banking) experience a nice to have.
Medical terminology course nice to have.
Experience with Capsil an asset.
Interview Process:
1 Round – 30 min Teams meeting with HM and HM’s one-up
Format will consist of behavioral and getting to know you type questions and assessing French language competence.
About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
Benefits: SPECTRAFORCE offers a Group Registered Retirement Savings Plan (RRSP) Program to all eligible employees. Additionally, our employee discount program provides exclusive access to thousands of discounts on travel, entertainment, and more. SPECTRAFORCE offers unpaid leave as well as paid sick leave, paid holidays, and paid vacation as required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant based on race, national or ethnic origin, colour, religion, age, sex, sexual orientation, gender identity or expression, marital status, family status, genetic characteristics, disability, conviction for an offence for which a pardon has been granted or in respect of which a record suspension has been ordered, or any other prohibited grounds as identified by provincial or territorial law. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $27.99/hr.
