Process Expert

3 weeks ago

Gurugram, India Sun Life Full time

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description:
Process Expert- French
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 3-6 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.

GCF Level 4.1 & 4.2

Job Category:
Claims - Health & Dental

Posting End Date:
16/09/2025

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