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About this PositionWe are looking for a Claims Manager to join our Claims department.
Responsibilities and Qualifications
Responsibilities:
- Oversee claims processing to ensure procedures are followed and standards are adhered to
- Supervise, mentor and train Claim Adjusters
- Approve claims payments over the claim adjusters’ limits
- Audit claims payments set up by adjusters on a daily basis
- Approve denials of Waiver of Premium, Life Claims and Terminal Illness
- Research and respond to all general claim inquiries
- Distribute daily workflow for claims adjusters
- Complete Monthly, Quarterly and Annual reports for finance
- Manage all issues relating to claims litigation – Liaison with Vice President General Counsel, file summary, attendance at Examination for discovery
- Manage all issues pertaining to the running of the claims department
- Assist in business requirement definition, testing and implementation of system enhancements
- Upkeep claims policies and procedures
- Provide assistance and support to the VP of Life Insurance Operations
- Provide administrative backup to management
- Miscellaneous duties as may be assigned
Qualifications:
- University degree or equivalent work experience
- Minimum 5 years of senior claims adjudication and minimum 2 year of management experience
- Must have knowledge of medical terminology, pre-existing conditions, material misrepresentation and provincial insurance regulations
- Excellent verbal and written communications skills, including well developed interpersonal & relationship-building skills
- Detail oriented with excellent research and strong analytical skills
- Excellent organizational & time management skills with the ability to multi-task
- Ability to work well both independently and in a team environment
- Proficient with various MS Office applications, with intermediate knowledge of Excel
- Bilingualism would be considered an asset
It has been and will continue to be the policy of Primerica, Inc., and its subsidiaries to be an Equal Opportunity Employer. We provide equal opportunity to all qualified individuals regardless of race, sex, color, religious creed, religion, national origin, citizenship status, age, disability, pregnancy, ancestry, military service or veteran status, genetic or carrier status, marital status, sexual orientation, or any classification protected by applicable federal, state or local laws.
At Primerica, we believe that diversity and inclusion are critical to our future and our mission – creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.
