Senior Process Associate- French

3 weeks ago

Coimbatore, Tamil Nadu, India Sun Life Full time

Main Accountabilities:

  • Assess the documentation received for a claim in order to reach a decision
  • Determine how the contract applies to each claim
  • Communicate clearly and proactively with clients, advisors and various professionals and effectively manage their expectations
  • Maintain established service standards
  • Evaluate opportunities for process improvements and actively participate in team initiatives and projects
  • Act as a technical expert for clients, claims adjudicators, risk management and underwriters
  • Identifying complaints, acting upon them and resolving them in line with problem resolution guidelines

Core Competencies:

  • Minimum 3 years in life claims adjudication
  • Experience handling claims related to Health and Dental
  • In depth insurance technical knowledge
  • Confident and influential communicator in French and English with the ability to negotiate at all levels
  • Excellent French written and verbal communication skills with an ability to handle written inquiries of a sensitive nature
  • Strong problem solving and analytical skills
  • Attention to detail
  • Team player with a positive attitude and commitment to provide quality service
  • The ability to build and manage cooperative and productive relationships
  • Solid PC skills with knowledge of Word, Outlook and Excel

Requirements:

  • College diploma/university degree/CEGEP degree or relevant experience
  • Fluent in both French and English
  • In pursuit of LOMA, HIAA and ICA courses.

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