Securian Canada

Claims Specialist

• Responsible for assessing claims for benefit by reviewing contractual, medical, and functional information and in accordance with certificate provisions, adhering to established routines and processes for our various clients;
• Follow up with diligent communications with the different stakeholders, to obtain or provide information regarding claim status and reasoning, and complete reporting as required;
• Thoroughly document the analysis according to Securian’s policies and processes;
• Effectively manage an active caseload in accordance with client service standards and best practice guidelines and established KPI’s and TAT’s;
• Contribute to and foster a positive and dynamic working environment by supporting team members and through collaboration to department project work, and with plan members, plan sponsors and other stakeholders, to ensure service standards are met;
• Learn and apply tools and technology that support continuous improvement by identifying opportunities to improve processes and customer service delivery and adapting to changes as improvements are implemented;
• Perform other related duties, as assigned.

Claims Examiner – 18 months contract

Claims Examiner, 18 months contract

Bilingual

• 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.

Bilingual Claims Care Representative

• Respond to client or member inquiries regarding billing, account balances, refunds, certificates, plan details, products and services received through various communication channels;
• Assess needs and handle each request in a professional, courteous and efficient manner, ensuring appropriate follow-up;
• Use internal systems to gather and provide all necessary information to achieve first-contact resolution;
• Track and record inquiries in the appropriate systems;
• Update certificate details when required and ensure proper follow-up (type of coverage, coverage amount, certificate cancellations, updating beneficiaries or contact information, subscription requests to cancel coverage in replacement of new coverage, mass updates and/or mass cancellations);
• Deliver consistent high-quality service while adhering to established processes and meeting productivity and quality objectives (KPIs);
• Share ideas and observations to support continuous improvement;
• Keep product and service knowledge up to date and participate in ongoing development training.

Bilingual Customer Service Representative

Consultant

• Lead modeling of Life and critical illness products in Moody’s AXIS;
• Assess profitability and risks to support pricing decisions for new and existing products;
• Perform in-depth analyses to support assumption setting, provide recommendations on product design, and evaluate product initiatives;
• Design and enhance tools to optimize and automate pricing processes;
• Ensure pricing methodologies comply with internal standards and regulatory requirements;
• Improve pricing process efficiency to meet business objectives.

Actuarial Consultant, Product and Pricing

Actuary

• Lead modeling of Life & CI products in Moody’s Axis;
• Assess profitability & risk to support pricing decisions for new and existing products;
• Conduct in depth analysis to support assumption setting, recommendations for product designs and features and assessment of product initiatives;
• Build and improve tools to streamline and enhance pricing processes;
• Ensure pricing methodologies meet internal standards and regulatory requirements;
• Improve efficiency of pricing processes to achieve business goals.

Actuarial Consultant, Product & Pricing

• Complete verification data entry of insurance applications
• Conduct outbound calls, e-mail and written correspondence to applicants and financial institutions for any “not in good order” documents for missing information.
• Calls to customers to book tele-underwriting interviews
• Take ownership of these calls to ensure accurate and helpful information is communicated with exceptional customer service
• Ensure data tracking and reporting.
• Places additional requirements and ensures follow-up with the clients, external firms and other departments within the bank/financial institutions
• Perform information searches and ensure the transmission of relevant data to the appropriate stakeholders
• Other administration work as required.

Bilingual New Business Coordinator

• Perform data entry and verification for insurance applications
• Make outbound phone calls and written communications (emails and letters) to applicants and financial institutions to obtain missing documents or information ("incomplete files")
• Contact clients to schedule telephone underwriting interviews
• Manage these interactions to provide accurate and helpful information while delivering high-quality customer service
• Monitor, update, and produce reports related to data
• Add additional requirements and follow up with clients, external partners, and other departments within banks or financial institutions
• Conduct information research and ensure relevant data is transmitted to the appropriate stakeholders
• Perform any other required administrative tasks

Claims Examiner – 18 months contract

Claims Examiner, 18 months contract

Bilingual Claims Care Representative

Bilingual Customer Service Representative

Actuarial Consultant, Product and Pricing

Actuarial Consultant, Product & Pricing

Actuarial Consultant, Product & Pricing

Bilingual New Business Coordinator

Bilingual Coordinator – New Business

Bilingual New Business Coordinator

Bilingual New Business Coordinator