Company: CUMIS Union

Department: Creditor Claims

Employment Type: Regular Full-Time

Work Model: Hybrid (2 days in office)

Language: Bilingualism in English and French is required.

Additional Information: This/these role(s) is/are currently vacant

The Opportunity
We are a leading Canadian financial services co‑operative committed to being a catalyst for a sustainable and resilient society. Our team is essential to deliver on this strategy. We prioritize our people to ensure a strong culture and development opportunities that enable our team to thrive and to live our purpose. You will work with people that care passionately about our clients and our communities.

Our national Creditor team aspires to develop and deliver market‑leading products and solutions to exceed client expectations. We think strategically and collaboratively to create mutually beneficial results and achieve business objectives. We operate with high integrity, motivated by our desire to do the right thing for our clients and their members.

The Disability Claims Examiner I completes the final setup of all new creditor claims after the initial claim record is received from client services. This position is responsible for the complete and final processing of auto‑adjudicated “A” claims, the initial processing of straightforward “B” claims, and a caseload of total & permanent claims. It also provides administrative support functions to the claims department including maintaining the Claims Centre email box, receiving and distributing facsimiles and contacting policyholders to obtain necessary information.

How You Will Create Impact

Determine the member’s coverage and the necessary claim records for each product for each new claim record.

For A claims, accept,



pay and close a claim to its recovery date not exceeding 2 months of benefits based on system parameters and department guidelines.

For B claims, accept and pay a claim for 1 month prior to transferring the claim to a level I or level II examiner based on system parameters and departmental guidelines.

Request and review supplementary medical information for total and permanently disabled claimants.

Identify claims for re‑assessment by a level II or level III claims examiner where total and permanent disability is in question.

Receive and distribute incoming faxes and return mail according to department procedures.

Manage emails received through the Claims Centre email box.

Contact the policyholder to obtain information necessary to confirm coverage.

How You Will Succeed

Adapt to change and commit to continuous improvement in order to exceed client expectations.

Use robust communication skills to clearly convey messages.

Be an effective team player who shares knowledge to support peers.

To Join Our Team

Have completed a post‑secondary diploma with 6‑12 months of customer service experience.

Have or be working toward a medical terminology course (an asset).

Prefer completion of LOMA 280 & 290 or ACS 100.

What You Need To Know

Maintain strict confidentiality with respect to clients’ medical history, financial status and other personal information.

Expected salary is $50,143. The salary amount for the successful candidate is determined by Co‑operators in its discretion and will vary depending on several criteria including but not limited to local market conditions, geography and relevant job‑related factors such as knowledge, skills, qualification, experience and education.

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance or other business metrics.

#J-18808-Ljbffr

📌 Bilingual Claims Examiner I, Creditor Life and Disability (Ontario)
🏢 Co-operators
📍 Ontario