27 Oct
|
iA Financial Group (Industrial Alliance)
|
Vancouver
27 Oct
iA Financial Group (Industrial Alliance)
Vancouver
Job Description
Build the future with us
Are you analytical, detail-oriented, and motivated by the opportunity to support clients when it matters most? As a Claims Analyst with our Special Markets Claims team, you will assess lower-risk and non-core claims in accordance with policy provisions, internal guidelines, and service standards.
This role offers an excellent chance to develop solid foundational claims expertise in policy interpretation, file management, decision-making, and customer communication. Depending on your experience and training, you may also adjudicate limited-risk products and a defined portion of a core product.
You will work closely with Claims Specialists, contribute to the team’s day-to-day operations, and progressively build the knowledge and capabilities required to advance your career within claims.
What you’ll accomplish with us
As a Claims Analyst , you’ll be at the core of our mission. Here are the main responsibilities:
- Adjudicate non-core and lower-risk Special Markets claims within assigned authority levels.
- Assess eligibility and entitlement based on policy provisions, medical information, and supporting documentation.
- Request, review, and analyze the documentation required to support fair and objective claim decisions.
- Communicate claim decisions clearly, professionally, and respectfully to claimants, brokers, third-party administrators, policyholders, benefit administrators, and internal partners.
- Maintain accurate, timely, and objective claim file documentation in accordance with regulatory, privacy, and audit requirements.
- Identify and escal... complex, sensitive,
or higher-risk claims to the appropriate senior-level resource.
- Depending on business needs, experience, and training, assist with a defined portion of a core product within an established scope and authority.
- Develop and maintain positive working relationships with clients and business partners while ensuring compliance with policy provisions and privacy requirements.
- Participate in meetings and discussions related to claims-handling practices and service delivery.
- Build and maintain your knowledge of Special Markets products, policies, procedures, and industry practices.
- Participate in training, coaching, and knowledge-sharing activities.
- Apply feedback to continuously improve decision-making, communication, and claim quality.
- Support team operations through collaboration, information sharing, professionalism, openness, and respect.
What could accelerate your success in this role
We’re looking for someone who:
- Has experience in the insurance industry or in a related claims environment;
- Demonstrates strong analytical, critical-thinking, and problem-solving skills;
- Is recognized for their attention to detail and ability to make objective, well-supported decisions;
- Can interpret policy provisions and supporting documentation effectively;
- Manages competing priorities while consistently meeting established service standards;
- Demonstrates strong customer service, verbal communication, and written communication skills;
- Builds positive and professional relationships with clients, colleagues, and business partners;
- Is committed to continuous learning and receptive to coaching and feedback;
- Has foundational knowledge of group life, health, accident, and sickness plans, which would be considered an asset;
- Bilingualism in English and French would be considered a strong asset, as the preferred candidate will be expected to support a significant volume of both English and French claims on a regular basis.
Why you’ll love working with us
- A work environment where learning and development merge with a collective pursuit of excellence;
- AI is in everyone’s hands, empowering you to increase your personal effectiveness while supporting the organization’s growth;
- A healthy, safe, fair, and inclusive environment where potential can be freely expressed and developed;
- The opportunity to work in a hybrid environment, supported by flexibility and access to inspiring and innovative workspaces;
- Competitive benefits: Flexible group insurance, competitive pension plan, stock purchase plan, vacation and wellness/personal development days, telemedicine, employee and family assistance program, ergonomic furniture program, performance bonus, discounts on iA products, and much more
The typical hiring range for this
📌 Claims Analyst (Vancouver)
🏢 iA Financial Group (Industrial Alliance)
📍 Vancouver