Intermediate Claims Adjuster

• Adjudicate contested and complex accident, life, critical illness, cancer, and sickness disability claims.
• Approve, deny, or inquire further for necessary information from claimants, doctors, or hospital to assess claimant's eligibility for benefits.
• Interprets and administers policy provisions including, but not limited to eligibility, definition of total disability, and pre-existing investigations.
• Review and make decisions for policy rescission, after discussion with underwriting.
• Refer files for special investigation if required.

• University graduate
• Bilingual (Fluent in French and English).
• Excellent interpersonal skills to engage with customers
• Effective verbal and written communication skills
• Basic mathematical proficiency and comfort with numerical data
• Ability to make informed decisions and exercise sound judgment
• Completion of insurance courses such as LOMA or HIAA is a bonus, but not mandatory
• Must demonstrate customer centricity in all aspects of their job by performing actions with empathy and expertise.
• Effectively communicate with customers using empathy and professionalism via phone and written correspondence.
• Strong knowledge of medical terminology an asset

Chubb