12 Sep 2011

Full-Time TU group

TU group – Posted by ILSTV Admin – Richmond, British Columbia, Canada

Job Description

Department: Claims Administration

Reports to: Supervisor, Claims Administration

Company: OneWorld Assist – part of the TU Group

Location: Head Office – Richmond, B.C.

Who we are

TU Group is the parent company of Travel Underwriters and OneWorld Assist.

For over 45 years, Travel Underwriters has insured millions of travellers and become one of Canada’s leading travel insurance providers. Through our distributors, we specialize exclusively in travel insurance and protect travellers against unexpected accidents or illnesses away from home.

Our assistance company, OneWorld Assist, provides superior customer care and claims solutions. From our call centre to in-house claims department, we provide a one-stop shop for our partners and their clients.

At TU Group, we are a market-driven, operationally aligned, team of specialized experts. As the obvious choice for travel insurance, we understand what our markets value and organize ourselves to most effectively deliver that value.

As a growing, viable and successful organization, we are currently looking for a Claims Examiner to join our team.

Who you are

You have experience working with claims and an understanding of policy coverage and wording. You enjoy reviewing files and making recommendations. Your attention to detail, analytical and organizational skills are second to none. You are passionate about providing exceptional customer service and committed to making a difference in everything you do. You thrive in a fast paced, ever-changing environment.

If this is you and you want to make a difference in a company that values contribution, then we want to hear from you.

What you will do

The successful candidate will be responsible for processing claim files according to Company policies and procedures. This involves reviewing claims for completeness and compliance with policy coverage, and recommending payment or denial. If the claim is not complete, the Claims Examiner requests additional information and follows-up regularly. Processes approved payments for clients and providers, and requests repayment from other insurers. Advises clients and providers of denials as appropriate. Tracks payments made or received and closes file. Assists “walk-in” clients to complete forms and answers questions. Once fully trained, work schedule will include some non-business hour shifts (weekend and evening shifts).

What you will bring

1 to 2 years of post-secondary education in a business-related field of study.
Ability to learn and apply knowledge of policy wordings to accurately process claim files.
Strong computer skills.
Excellent written and verbal English skills.
Excellent communication skills, particularly using the phone.
Previous experience assessing claims an asset.
Experience in customer service role an asset.
Strong interpersonal, conflict resolution and mult-tasking skills.
Well organized, with a strong attention to detail.
Knowledge of medical terminology an asset.
Successful completion of a criminal record check.
Level 2 Insurance Adjuster’s license or Level 2 General Insurance License preferred