Claims analyst II, Accident & Health
$61,000–$67,900 year
On-siteToronto, Ontario, Canada
Toronto, Ontario, CanadaOn-siteFull Time$61,000–$67,900 yearEnterprise
Full TimeEnterprise
Job Summary
Handle Accident & Health claims including A&D, permanent disability, critical illness, and medical evacuation by reviewing policies, analyzing coverage positions, and conducting investigations into loss facts. Determine eligibility and amounts owed, recognize and pursue subrogation, and make Risk and Fraud referrals where warranted. Manage higher claim volumes, assist with customer escalations and file audits, and coach team members while driving process improvements. This role supports the A&H team in delivering responsive service for key accounts with performance guarantees.
Required Qualifications
- Insurance claims experience of at least 1+ year(s)
- exposure to Accident and Health claims
- sickness and bodily type injury claims
- complex risks
- Ability to read and interpret insurance policies
- act as liaison with Underwriting
Desired Qualifications
- Ability to coach and develop others
- Innovative mindset to help drive process improvement
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.