Réviseur sénior (bilingue)
Core
Senior claims auditor ensuring compliance with policies, standards, and procedures for major loss claims settlement across Promutuel Assurance's Quebec offices.
Role type
Senior claims auditor (insurance)
Builds
Claims settlement processes and compliance adherence for the insurance group
Domain
Insurance / Claims management
Deliverable
client delivery
Required skills
Claims settlement, policy compliance, quality assurance, contract guarantee validation, payment accuracy verification, processing timeline control, complaint management, complex case handling, MS Office suite, bilingual communication (French/English)
Preferred skills
Out-of-province claims experience, agricultural claims experience
Technologies
MS Office suite
Responsibilities
Analyze claims files processed by independent experts, verify compliance with internal policies and procedures, evaluate work quality regarding coverage and indemnification, validate payment amounts, control processing deadlines, intervene in delays, manage dissatisfactions and complaints, assist members in complex situations
Seniority
Senior, hands-on IC