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Bilingual Claims Group Benefits Specialist

April 1 2021
Industries Bank, Insurance, Financial services
Categories Accounting, Finance, Bank, Insurance, Financial services, Bank, Insurance, Financial Services, Compensation -Benefits, HR, Training
Richmond Hill, ON

RSA is one of the world’s longest standing insurance groups, providing protection and peace of mind, for over 300 years, to more than nine million customers, worldwide.

Our people are ambitious, passionate and inquisitive, and driven by a need to deliver value and innovative solutions to our customers. We are proud of our organizational culture which encourages us to embrace each other’s strengths, and respect everyone’s ideas.

At RSA, our desire to be the best has created an exceptional company in which you can build and advance your career. RSA is proud to be ranked among Canada’s Top 100 employers in 2019 and 2020.

To join this award-winning team, and to learn more about us, visit our Careers page.

RSA, Johnson, CNS and Deeks are part of the RSA Group of Companies (“RSA”).

Position Summary

We currently have an opportunity for a Claims Specialist who is enthusiastic and exhibits excellent organizational skills. Working within our Group Benefits team, you will be responsible for effective claims adjudication, investigation, and issue resolution for Group Health and Dental claims, while providing superior customer service for assigned groups based on our Client Service Agreements.

What you'll do in the role

  • Knowledge of industry standards in order to educate members with respect to their benefits (i.e. Assistive Devices Program, Ontario Drug Benefit Plan, Canadian Life Health Insurance Association, etc.)
  • Adjudicate claim based on policy/industry guidelines, and know how to explain payments, declines, etc.
  • Investigate complex claims by referring to government programs, manuals, underwriter.
  • Logged onto a busy phone queue while at the same time process Extended Health Care, Semi-Private Hospital and Dental claims.
  • Make outbound calls to providers and members to assist in claim resolution.
  • Identify when the system has paid a claim differently from how the policy dictates.
  • Quality and quantity of work is monitored against set key performance indicators

What you'll need

  • 2+ years’ experience in Group Benefit Claims or Administration is an asset
  • Experience dealing with customers with the ability to exhibit patience and express sincere empathy
  • Excellent written and verbal communication skills
  • College diploma or University degree preferred
  • Superior organizational and computer skills
  • Must be detail-oriented and able to problem solve in a fast paced environment
  • Ability to remain focused while handling multiple tasks at the same time.
  • Advanced Alpha & numerical keyboarding skills with accuracy
  • Be present and an active contributor to the team
  • Bilingual, English and French is an asset

What you'll receive

  • A market-leading, comprehensive Total Rewards Program which includes competitive compensation and bonus, flexible benefits, and pension plan.
  • Best-in-class vacation policy that includes paid volunteer, parental leave top-up programs and personal leave days.
  • Strong learning culture with a focus on overall development, internal mobility and career advancement.
  • Tuition reimbursement program.
  • A culture that celebrates diversity and inclusion, with a strong focus on community and corporate social responsibility.

Temporary / Fixed Term Hires:

  • Competitive salary
  • Strong learning culture
  • Diverse, award-winning culture with a strong focus on corporate social responsibility

At RSA, our purpose is to Make Life Better Together and that starts with our people. We work side by side with driving energy and determination to get better every day, through industry leading thinking, and by listening to and respecting all perspectives. This is how our leaders and our people make an impact. We are forward looking, so we can adapt, evolve and improve, ultimately achieving our better, together. We are committed to creating an environment that promotes a healthy work-life balance. Our people managers and leaders successfully manage flexible work arrangements for their teams to ensure they are optimal for both the individual, and the business.

At RSA Canada, we are committed to creating a workplace where our employees thrive; where everybody counts and everyone is heard. Where you can be your whole self at work – wherever that is – everyday. To celebrate differences, not just because it's the right thing to do, but because we believe having a diverse workforce which embraces different perspectives makes RSA Canada a more vibrant and creative place to work.

RSA is an equal opportunity employer. We provide accommodation for individuals with disabilities in the job application process. If you need assistance, please email AODA@RSAGROUP.CA. To learn more, visit our Accessibility page.

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