Bilingual Account Manager, Claims (Montreal)

• Expertly adjudicate assigned claims, communicate critical issues and claim handling requirements clearly. and professionally to clients and capture data effectively and efficiently.
• Evaluate and proactively support clients in enhancing claim practices via training or one-on-one discussions.
• Contribute to internal claims department initiatives and selected internal projects.
• Share business-critical knowledge across team and organization.

• Conduct expert individual claim adjudication within internal quality standards, delegated authority limits and client response timelines.
• Identify coverage and payment discrepancies, address and resolve coverage anomalies.
• Proactively identify, assess, manage and resolve claim evidence inconsistencies with clients.
• Promptly approve payments in accordance with payment authorization protocols and client service level agreements.
• Archive all claim documentation in an appropriate and orderly manner, perform required claim file follow ups.
• Utilize data management and claim system software and tools effectively to adjudicate and monitor claim risks.

• Establish strongly positive, beneficial, long-term client relationships through professional, timely and knowledgeable communication.
• Monitor client claim results and provide accurate client information on a timely basis to Management through claim analytics, data mining and trend analysis.
• Assist with identifying/implementing initiatives to enhance claim handling efficiencies and effectiveness.
• Develop and implement strategies to track and improve claim results or client expertise.

• Validate treaty compliance during client claim audits, communicate findings to internal business partners, and provide best practice recommendations for action/resolution.
• Produce excellent written analytical client audit reports with sound recommendations within expected timeframes.
• Follow up on recommended client actions to improve client review results.
• Present claims to Senior Management for evaluation/authority including completion of pertinent claim summary reports and notice of high exposure claims.

• Provide technical mentoring on complex claims to clients or internal Claims team members.
• Develop and deliver leading-edge knowledge of insurance claim investigations and practices through presentations, surveys and publications.
• Engage with pricing, underwriting, and legal to ensure treaty and contractual liabilities, product language and client decisions meet Munich Re's risk standards and intent.
• Apply expert risk management knowledge/analysis to claim scenarios and share expertise throughout the organization.

• Minimum 3-5 years in insurance claims, with expertise in Individual Life, Critical Illness and/or Disability claims. Reinsurance experience is an asset.
• Bilingual in English/French, with demonstrated verbal and written proficiency required .
• University degree in combination with LOMA, ICA or other insurance designations.
• Requirement to work in Montréal office under hybrid work model
• Demonstrated thoroughness, accuracy and attention to detail in claim reviews and data capture.
• Strong analytical and inquisitive skills.
• Excellent attention to meeting time service and achieving deliverables.
• High degree of self-motivation, continuing development and proven ability to work independently.
• Demonstrated desire and aptitude to learn multiple lines of business and claim types.
• Excellent presentation and report creation and delivery skills, strong verbal and written communication skills.
• Demonstrated ability to build solid client relationships.
• Knowledge of Underwriting concepts and medical terminology is an asset.
• Power BI and related coding skills is an asset.
• Limited travel within Canada is expected.

• An engaging and collaborative environment that promotes continuous learning and development
• A hybrid work environment that combines weekly in-office and remote days
• A great compensation package including annual company bonus
• Market leading company-paid flexible health and dental benefits, starting on your first day
• Flexible dollars provided by the company to put towards Health Spending Account and/or Wellness Spending Account
• Immediate participation in DC Pension Plan with an automatic employer contribution, plus optional company match
• Generous time off including vacation, personal days, unplanned time, Statutory Holidays and company-wide early closure half-days
• Learning and development programs and resources, including unlimited access to LinkedIn Learning, Education Assistance Program and reimbursement for professional fees
• Maternity, Parental & Adoption Leave top-up program
• Employee Referral Program, Recognition & Rewards Platform

Munich Re