Appeals Analyst (Field : Insurance | Group Benefits)

Tasks

• Perform opening of appeal files, preparation of the file and entry of relevant details into the database.
• Conduct review, research and analysis of appeal requests.
• Communicate with stakeholders to obtain information needed to process requests.
• Write analytical summaries for each appeal and present them at meetings.
• Review error cases and authorize resolutions.
• Prepare correspondence related to appeal requests.
• Participate in the preparation of reports.
• Contribute to research for appeal requests or complex issues.
• Carry out any other related duties.
• If you are ready to take on new challenges, we would like to meet you!

Advantages

• Competitive salary.
• Regular salary review and possibility of promotion.
• Hybrid work mode.
• Additional compensation in lieu of retirement benefits.
• Benefits: Full range of medical and dental benefits, as well as a long-term disability and life insurance program.
• Vacation: 3 paid weeks.
• Sick Days: 15 paid days.
• Paid leave (family): 5 paid days.
• Continuing education and professional development.

Job requirements

• Post-secondary degree (university degree or college diploma).
• Minimum 3 years of experience.
• Proficiency in MS Office (intermediate to advanced level for all tools).
• Bilingual - Spoken and Written // Excellent writing skills in both official languages.
• Knowledge of SharePoint (an asset).
• Experience in the field of group insurance (an asset).

Desired profile

• Possess strong interpersonal skills.
• Demonstrate discretion, confidentiality and diplomacy.
• Be thorough in your work and have excellent attention to detail.
• Excellent organizational and priority management skills.
• Be proactive and show initiative