Claims Care Analyst (12 months contract)

Claims Care Analyst (12 months contract) Department: Claims Employment Type: Fixed Term - Full Time Location: Waterloo, ON Compensation: CA$55,000 - CA$70,000 / year Description What we do every day to be our very best Every day at Securian Canada means a day spent helping Canadians and their families build secure tomorrows. We’re agile and innovative, and we aren't afraid to challenge and create, or bring diverse perspectives to our work. Who we need We are looking for a detail-oriented and customer-focused Claims Care Analyst who thrives in a fast-paced environment and is passionate about delivering meaningful support to clients during important moments in their lives. You will bring strong analytical and critical thinking skills, the ability to assess complex medical and contractual information with accuracy, and a high level of professionalism and empathy. You are someone who values quality, accountability, and collaboration, while maintaining a strong service mindset when interacting with insured clients and internal stakeholders. Experience within claims, insurance, disability management, or customer care environments will be considered a strong asset. The base salary range for this position is between $55,000 to $70,000 depending on experience. Details of our additional benefits are outlined below. This job posting is for an existing vacancy. Only one position is available. However, it may be based in multiple locations: Toronto (ON), or Waterloo (ON), or Montreal (QC). What you will do Assess claims for benefit entitlement by reviewing all relevant contractual, medical, functional, and occupational documentation in accordance with established routines and certificate provisions; Efficiently manage an active caseload, ensuring compliance with client service standards, best practice guidelines, KPIs, and turnaround times (TATs); Conduct thorough documentation of claim analysis and maintain accurate records as per company policies and procedures; Communicate professionally and empathetically, both in writing and verbally, with stakeholders to provide updates, clarify claim status, and explain decisions; Perform detailed phone interviews with clients or involved parties to gather information and discuss claim outcomes; Identify required supporting documents for current and future benefit payments, and follow up diligently to obtain necessary information; Collaborate with team members, plan sponsors, and other stakeholders to uphold service standards and contribute to a positive and dynamic work environment; Participate actively in departmental projects and continuous improvement initiatives by identifying process optimization opportunities and adapting to changes; Perform other related duties as assigned. What you will bring Post-secondary education or equivalent work experience; a College diploma (DEC) in a relevant field is preferred; Professional designations such as FLHC, FLMI, or ALHC are considered assets; Minimum of 1 year experience in insurance claims processing, particularly in life, disability, and critical illness insurance; Medical knowledge obtained through claims assessment, underwriting, or experience in a medical or paramedical profession is an asset; Strong analytical and problem-solving skills with meticulous attention to detail and a commitment to high-quality service; Strong proficiency in English for communication with customers and colleagues; Strong proficiency in French for communication with customers and/or colleagues in Quebec; Ability to conduct sensitive phone interviews and convey decisions tactfully; Proficiency in Microsoft Office suite (Word, Outlook) and case management software; Ability to multitask and prioritize effectively while meeting diverse deadlines; Professionalism under pressure, with the ability to manage stressful situations and deliver difficult news empathetically; Positive attitude, strong team spirit, and adaptability to organizational changes. Why join? When you’re a part of Securian Canada, you’re a member of an agile and innovative, high-performing, bright-thinking, make-things-happen culture – so that together, we can discover the art of possible. At our company, we see your potential on day one and challenge you to grow your unique strengths as you create a career filled with opportunity, collaboration, and purpose. You’ll also be part of a team that’s committed to diversity, equity, and inclusion, and who values diverse perspectives, so that you can be the person you want to be – both in, and outside, work. Securian Canada offers a competitive total rewards program with a variety of perks and benefits, including: Flexible work arrangements with monthly financial allocations to support your work-life balance; Generous starting paid vacation time, plus additional vacation days for every year of service; Paid volunteer day so you can dedicate time to a cause you are passionate about; Paid personal and wellness days to support your total wellbeing; Educational assistance of up to $3,500 a year (with approval from your manager); Flexible health and wellness account (in addition to comprehensive drug and dental coverage) to help pay for a wide range of wellbeing services that are meaningful to you; Up to 14% of combined contributions to the RRSP matching program; Family-friendly maternity/parental leave and, Many more benefits, perks and programs. If you have at least 70% of the qualifications we're looking for, want to work in a fast-growing, leading and progressive company, and feel driven to help Canadians and their families build secure futures – we want to hear from you! Take the first step in building your future with Securian Canada. Apply now. Securian Canada is committed to providing a barrier-free work environment and equal access to employment for all qualified applicants. As such, upon request, Securian Canada will work with applicants that require reasonable accommodations during the recruitment process. Please contact [email protected] for accommodation requests. All information shared during any accommodation request process will be stored and used only in a manner that is consistent with applicable laws and Securian Canada/Canadian Premier Life Insurance Company policies.

Assess claims for benefit entitlement by reviewing medical and contractual documentation while managing an active caseload. Communicate professionally with stakeholders and maintain accurate records to ensure compliance with service standards.

Requires post-secondary education and at least one year of experience in insurance claims processing. Strong analytical skills and proficiency in English are essential, with French proficiency required for Quebec-based communication.

• Flexible work arrangements • Paid vacation • Paid volunteer day • Paid personal and wellness days • Educational assistance • Flexible health and wellness account • Drug and dental coverage • RRSP matching program • Maternity/parental leave

• Gestion du tempsSouhaitée
• Service à la clientèleSouhaitée
• Résolution de problèmesSouhaitée
• Souci du détailSouhaitée
• CommunicationSouhaitée
• Microsoft OfficeSouhaitée

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• Claims assessment
• Critical thinking
• Analytical skills
• Customer service
• Medical terminology
• Case management
• Communication
• Documentation
• Problem-solving
• Attention to detail
• Microsoft Office
• Insurance processing
• Disability management
• Empathy
• Time management
• Tactfulness
• Organizational Change Management
• Professionalism
• Accountability
• Positivity
• Information Gathering
• Service Standards
• Adaptability
• Agile Methodology
• Underwriting
• Medical Science
• Law Practice Management Software
• Claims Processing
• Customer Service
• Continuous Improvement Process
• Critical Thinking
• Critical Illness Insurance
• Loyalty Programs
• Disability Management
• English Language
• Equities
• Fellow Of Life Management Institute
• French Language
• Innovation
• Problem Solving
• Key Performance Indicators (KPIs)
• Microsoft Outlook
• Multitasking
• Phone Interviews
• Process Optimization
• Detail Oriented
• Claim assessment

• Finance & Accounting
• Customer Service & Support
• Administrative
• Claims Analyst
• Medical Claims Processor / Representative
• Debt Collectors and Related Workers
• Insurance Claims and Policy Processing Clerks

Formation minimale

Études secondaires

Expérience minimale

1+ ans

Langue de l’offre

anglais

Heures de travail

40 heures par semaine

Exigences de lieu

Country, Canada