Claims Analyst - Individual Insurance

Job Title

Claims Analyst - Individual Insurance

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Build the future with us

Do you enjoy analyzing complex situations, exercising your judgment, and making a real difference in the lives of policyholders? Are you looking for a role where your analytical skills and sense of service are put to use on a daily basis? This position is for you.

As a Claims Analyst, you will be at the heart of the action, handling a variety of challenging cases. You will analyze, evaluate, and authorize claims from a diverse clientele, applying contractual terms and conditions and taking into account the medical, professional, and financial realities specific to individual insurance. Each case represents a new challenge and an opportunity to exercise rigorous, balanced, and humane judgment.

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What you will accomplish with us

As a disability claims analyst, you will play a key role in evaluating, analyzing, and managing cases that have a direct impact on the financial security of policyholders.

Your responsibilities will include:

· Conducting in-depth analyses of disability claims by collecting, reviewing, and interpreting all relevant information, including medical, professional, financial, and contractual data.

· Assessing eligibility for benefits by applying contractual clauses, internal policies, and medical and functional analysis principles, while exercising your professional judgment.

· Managing complex or sensitive cases, including claims with high financial or human stakes, in collaboration with internal stakeholders (managers, medical advisors, legal services, etc.).

· Draft clear and structured written communications, including decision and rejection letters, demonstrating rigor, diplomacy, and empathy, while ensuring legal and contractual compliance.

· Maintain regular communication with policyholders and authorized representatives to clarify information, answer questions, and explain decisions in a professional and respectful manner.

· Closely monitor your files, meeting established deadlines, quality standards, and productivity targets.

· Contribute to continuous improvement by updating your medical, contractual, and regulatory knowledge and sharing your expertise within the team.

· Actively participate in team collaboration by supporting your colleagues, sharing best practices, and contributing to a positive and professional work environment.

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What could accelerate your success in this position

· Strong collaborative spirit and ability to actively contribute to the achievement of team objectives.

· Keen sense of customer service, combined with a professional, rigorous, and solution-oriented approach.

· Excellent analytical, synthesis, and judgment skills, enabling you to handle complex cases effectively.

· Strong decision-making skills, with respect for deadlines, quality standards, and productivity objectives.

· Proven ability to manage a high volume of files while maintaining a high level of accuracy and consistency.

· Knowledge of the medical field or long-term disability insurance (an asset).

· Independence, thoroughness, and organizational skills in managing priorities and deadlines.

· Ability to perform in a dynamic environment, adapt to change, and work under pressure.

· Advanced knowledge of English and French, as the person will be required to analyze unilingual English-language claims and communicate with English-speaking clients, healthcare institutions, and other types of collaborators on a daily basis.

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Why you'll love working with us

· A work environment where learning and development merge with a collective pursuit of excellence;

· A healthy, safe, equitable, and inclusive environment where potential can be freely expressed and developed;

· The opportunity to work in a hybrid work 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 and personal development days, telemedicine, employee and family assistance program, ergonomic furniture program, performance bonuses, discounts on iA products, and more!

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Apply now and take control of your career, where your talent really counts!

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Not sure whether to apply?

At iA, we believe in potential and value diverse experiences. If this role inspires you, go ahead and apply—you may be the perfect fit for us, and we want to get to know you!

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iA Financial Group

iA Financial Group* is the strength of a company with a human side, with its over 8,000 employees. Together, we have earned the trust of our more than four million clients and 25,000 advisors who have chosen us for their insurance, savings, and wealth management.

With over $200 billion in assets and half a billion invested in technological innovation, we’re a key player in the financial services industry in Canada and the United States. The secret to our success? Investing in you, one person at a time. Because, for over 125 years, we have believed that it’s by supporting our employees and surrounding ourselves with the most reputable leaders in the industry, we will continue to innovate.

At iA, we’re invested in you.

At iA Financial Group, we support and celebrate diversity. We strive to provide a workplace that is recognized as inclusive for all, regardless of ethnic origin, nationality, language, religious beliefs, gender, sexual orientation, age, marital status, family situation, or physical or mental disability.

Please note that if you need help or assistance to make the recruitment process more accessible for you, please Contact us here. Someone from our team will be happy to assist you with your needs.