Adjudicate contested and complex accident, life, critical illness, cancer, and sickness disability claims.Approve, deny, or inquire further for necessary information from claimants, doctors, or hospital to assess claimant’s eligibility for benefits.Interprets and administers policy provisions including, but not limited to eligibility, definition of total disability, and pre-existing investigations.Review and make decisions for policy rescission, after discussion with underwriting.Refer files for special investigation if required.University graduate Bilingual (Fluent in French and English). Excellent interpersonal skills to engage with customersEffective verbal and written communication skillsBasic mathematical proficiency and comfort with numerical dataAbility to make informed decisions and exercise sound judgmentCompletion of insurance courses such as LOMA or HIAA is a bonus, but not mandatoryMust demonstrate customer centricity in all aspects of their job by performing actions with empathy and expertise.Effectively communicate with customers using empathy and professionalism via phone and written correspondence.Strong knowledge of medical terminology an asset