Company Overview

Summary

Key Responsibilities

• Review, investigate, and adjudicate Travel Insurance claims (Medical, Trip Cancellation/Interruption/Delay, Baggage Loss/Damage/Delay) in accordance with policy terms and conditions
• Communicate effectively and professionally in both English and Portuguese with insureds, agents/brokers, medical facilities, and other stakeholders to collect documentation and explain claim status and decisions
• Analyze medical records and other supporting evidence to determine coverage and validity of claims
• Respond to claim inquiries and complaints from insureds and brokers in a timely, courteous manner
• Maintain accurate reserves and ensure timely updates to the claims management system
• Draft clear, accurate, and compliant claim denial letters that cite applicable policy language, in both English and Portuguese as needed
• Participate in quality reviews, training, and continuous improvement initiatives
• Perform other duties as assigned

Qualifications

• 2-3 years of experience in claims examining or adjusting insurance claims (Travel, Health, or related field)
• Bilingual fluency in English and Portuguese (spoken and written) required; must be able to professionally read, write, and speak with agents, medical facilities, and brokers in both languages
• Strong understanding of travel insurance policies and benefits considered an asset
• Excellent analytical, problem-solving, and decision-making skills
• Strong attention to detail and accuracy
• Strong written and verbal communication skills
• Ability to prioritize tasks and manage deadlines in a fast-paced environment
• Proficiency with MS Office

Core Competencies

Position Details

Benefits

• Dental care
• Employee assistance program
• Extended health care
• Life insurance
• On-site parking
• Paid time off
• RRSP match
• Vision care

Accessibility