About this role
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 As a Claims Care Representative, you are responsible for conducting the initial claim review for your assigned line of business, ensuring all activities are carried out in alignment with established KPIs, turnaround times (TAT), and applicable certificate and policy provisions.
- This is a hybrid position, with the team currently working from our Toronto office approximately once a month.
- The expected base salary range for this role is between $45,000 and $55,000 depending on experience.
- Additional information regarding our comprehensive benefits program can be found below.
- This opportunity is linked to a currently vacant position.
- We use artificial intelligence tools in our recruitment process to help with application review and improve the efficiency of our assessments.
- These tools are used responsibly and do not replace human decision-making, as we continue to manually review all applications.
- Effectively manages case/claims assignments and responds to inquiries from claimants regarding claim status and/or requests for claim forms.
- Manages the initial stages of screening claims.
- Applies an excellent understanding of certificate and policy provisions.
- Sets-up claims, including verifying policyholder information, policy effective date, premium status, and verification of claim eligibility and including ensuring appropriate claim forms are delivered to claimant.
- Communicates with key stakeholders including claimant, business partners, plan sponsors, physician, employers, verbally and/or in writing.
- Handles a variety of inquiries varying in complexity.
- Ensures compliance with Quality Assurance requirements and procedures Maintains compliance all KPI’s, standards, controls, policies, and practices as an active participant in the Company’s Information Privacy and Security Program.
- Perform other duties as assigned.