Claims Case Manager

Assumption Life Moncton, New Brunswick, Canada Full-time 1 day ago

job#onApply" href="/registration?applying_for_job_id=16213490"> Apply now

$62,000 - $75,000 CAD yearly

Discover

The Opportunity

The incumbent is responsible for analyzing, assessing, investigating, and making decisions on lower to moderate complexity individual insurance claims, including death and critical illness claims, within established monetary and approval authority limits. The incumbent reviews claims with diligence and attention to detail to meet established service standards, maintain high quality standards, and deliver exceptional customer service.

What you'll do

Responsibilities

• Analyze insurance claims, including the review of contestable and non-contestable claims, the collection and evaluation of medical information, the formulation of recommendations, decision-making, and correspondence with clients, agents, beneficiaries, and internal or external stakeholders.
• Provide support to agents, representatives, other departments, and clients by offering guidance to internal and external stakeholders, responding to inquiries related to policies, case scenarios, and claims, and assisting representatives as required.
• Participate in projects and continuous improvement initiatives within the department by contributing to product-related initiatives, forms development, administrative procedures, and the maintenance of reference tools used by the team.
• Maintain and update procedures in SharePoint to ensure analyst reference tools remain current, accessible, consistent, and aligned with established practices.

What you'll need

Qualifications

To be successful in this role, the incumbent should possess:

• A post-secondary diploma in health sciences or a related field (or equivalent experience in disability management).
• Excellent knowledge of medical terminology, as well as a solid understanding of the healthcare systems across the different provinces.
• Excellent verbal and written communication skills in both French and English, including the ability to manage routine communications, complex cases, and complaints.
• A good understanding of provincial legislation applicable to claims adjudication and administration.
• The ability to interpret various individual insurance contracts and related products.
• Knowledge of the computer systems used in claims processing.
• The ability to follow and apply claims guidelines for various products, as well as internal procedures, including claims requirements, reinsurance treaties, and tools such as SharePoint.
• Strong analytical skills and sound judgment.
• A high degree of autonomy and the ability to work effectively as part of a team.

If this opportunity aligns with your career aspirations and you are interested in playing a key role in the growth of our organization, we invite you to submit your application no later than September 21, 2026 .

A Little Bit About Us

Assumption Life

At Assumption Life, we value the development of our employees in diversified and inclusive work teams that foster creative thinking and innovation.

Assumption Life is deeply committed to its community's development

Founded in 1903 in Massachusetts, Assumption Life is the result of a group of people who want to take their destiny into their own hands. Their goal was simple: to ensure the prosperity of Acadian families in New England. Since its inception, Assumption Life has continued to making difference beyond the borders of l'Acadie for all families across Canada. Our Company, which began as a great idea 122 years ago, is now one of the largest mutual life insurance and financial services companies in Canada. Today, this culture of generosity and commitment is demonstrated by our employees. Whether it is helping out at special events, raising funds for charities or, helping people in need, Assumption Life employees are very committed to their community and are always ready to help.

An employer of choice

We ensure competitive salaries, as well as performance-based bonuses, generous benefits and flexibility in our policies and practices to respond to the needs of our employees.

Assumption Life is committed to creating a diverse environment and is proud to be an equal opportunity employer. We extend employment regardless of race, color, ancestry, religion, sex, national or ethnic origin, sexual orientation, age, citizenship, marital status, family status, genetic characteristics, disability, gender identity or gender expression, status of a pardoned person, social condition or political activity. If you have a disability or special need that requires accommodation for an interview, please let us know by emailing [email protected]

Are you interested?

Work With Us

• The chance to be part of a dynamic, high-performance team that adheres to the following ethical values: leadership, collaboration, trust and commitment;
• Opportunities for training and development;
• A comprehensive benefits package including competitive salary, bonus, pension and benefits;
• A dynamic downtown Moncton location;
• A paid volunteer day;
• Time off to care for family members and pets.

Assumption Life

job#onApply" href="/registration?applying_for_job_id=16213490"> Apply now

Moncton, New Brunswick, Canada

Full-time

$62,000 - $75,000 CAD yearly

1 day ago

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Discover

The Opportunity

The incumbent is responsible for analyzing, assessing, investigating, and making decisions on lower to moderate complexity individual insurance claims, including death and critical illness claims, within established monetary and approval authority limits. The incumbent reviews claims with diligence and attention to detail to meet established service standards, maintain high quality standards, and deliver exceptional customer service.

What you'll do

Responsibilities

• Analyze insurance claims, including the review of contestable and non-contestable claims, the collection and evaluation of medical information, the formulation of recommendations, decision-making, and correspondence with clients, agents, beneficiaries, and internal or external stakeholders.
• Provide support to agents, representatives, other departments, and clients by offering guidance to internal and external stakeholders, responding to inquiries related to policies, case scenarios, and claims, and assisting representatives as required.
• Participate in projects and continuous improvement initiatives within the department by contributing to product-related initiatives, forms development, administrative procedures, and the maintenance of reference tools used by the team.
• Maintain and update procedures in SharePoint to ensure analyst reference tools remain current, accessible, consistent, and aligned with established practices.

What you'll need

Qualifications

To be successful in this role, the incumbent should possess:

• A post-secondary diploma in health sciences or a related field (or equivalent experience in disability management).
• Excellent knowledge of medical terminology, as well as a solid understanding of the healthcare systems across the different provinces.
• Excellent verbal and written communication skills in both French and English, including the ability to manage routine communications, complex cases, and complaints.
• A good understanding of provincial legislation applicable to claims adjudication and administration.
• The ability to interpret various individual insurance contracts and related products.
• Knowledge of the computer systems used in claims processing.
• The ability to follow and apply claims guidelines for various products, as well as internal procedures, including claims requirements, reinsurance treaties, and tools such as SharePoint.
• Strong analytical skills and sound judgment.
• A high degree of autonomy and the ability to work effectively as part of a team.

If this opportunity aligns with your career aspirations and you are interested in playing a key role in the growth of our organization, we invite you to submit your application no later than September 21, 2026 .

A Little Bit About Us

Assumption Life

At Assumption Life, we value the development of our employees in diversified and inclusive work teams that foster creative thinking and innovation.

Assumption Life is deeply committed to its community's development

Founded in 1903 in Massachusetts, Assumption Life is the result of a group of people who want to take their destiny into their own hands. Their goal was simple: to ensure the prosperity of Acadian families in New England. Since its inception, Assumption Life has continued to making difference beyond the borders of l'Acadie for all families across Canada. Our Company, which began as a great idea 122 years ago, is now one of the largest mutual life insurance and financial services companies in Canada. Today, this culture of generosity and commitment is demonstrated by our employees. Whether it is helping out at special events, raising funds for charities or, helping people in need, Assumption Life employees are very committed to their community and are always ready to help.

An employer of choice

We ensure competitive salaries, as well as performance-based bonuses, generous benefits and flexibility in our policies and practices to respond to the needs of our employees.

Assumption Life is committed to creating a diverse environment and is proud to be an equal opportunity employer. We extend employment regardless of race, color, ancestry, religion, sex, national or ethnic origin, sexual orientation, age, citizenship, marital status, family status, genetic characteristics, disability, gender identity or gender expression, status of a pardoned person, social condition or political activity. If you have a disability or special need that requires accommodation for an interview, please let us know by emailing [email protected]

Are you interested?

Work With Us

• The chance to be part of a dynamic, high-performance team that adheres to the following ethical values: leadership, collaboration, trust and commitment;
• Opportunities for training and development;
• A comprehensive benefits package including competitive salary, bonus, pension and benefits;
• A dynamic downtown Moncton location;
• A paid volunteer day;
• Time off to care for family members and pets.