Capgemini Team Lead - Operations in Halifax, Nova Scotia
With more than 180,000 people in over 40 countries, Capgemini is a global leader in consulting, technology and outsourcing services. The Group reported 2015 global revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and delivers business, technology and digital solutions that fit their needs, enabling them to achieve innovation and competitiveness. A deeply multicultural organization, Capgemini has developed its own way of working, the Collaborative Business Experience™, and draws on Rightshore®, its worldwide delivery model.
Learn more about us at http://www.capgemini.com/ .
Rightshore® is a trademark belonging to Capgemini.
Capgemini is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law.
This is a general description of the Duties, Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the manner in which this position traditionally is performed. Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements and/or changing the way this job is performed, provided that such accommodations do not pose an undue hardship.
Click the following link for more information on your rights as an Applicant:http://www.capgemini.com/resources/equal-employment-opportunity-is-the-law
Job Location: Halifax, NS
Job title –Team Leader – Specialty Life Insurance Adjudicator
Job location – 120 Eileen Stubbs Avenue, Dartmouth, NS
Job type – Fulltime (permanent)
Leads a team of Claims Adjudicators and manages various specialty lines of business including but not limited to Disability, Life, Accidental Death & Dismemberment, Critical Illness, Long Term Care, Group and Individual Waiver claims, in a team-oriented, multi-disciplinary environment. Responsible for applying appropriate risk management strategies, which will impact on the company’s financial results, reputation and regulatory risks, client relationships, and business retention.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Responsible for the adjudication of claims utilizing amultidisciplinary claim management model to:
ensure objective, fair and thorough claim adjudication
comply with practices and procedures and regulatory requirements
provide the highest level of customer service and managereputational risk
develop and implement claims management and return to workstrategies on their assigned caseloads where warranted
Assesses researches and analyzes numerous contracts, documents theappropriate next steps while effectively and professionally communicatingoutcomes to our clients.
Effectively communicate and build rapport with team members,stakeholders and business partners using a variety of techniques and collaborationfrom initiation to close.
Resolves minor conflicts and issues and escalates to others asappropriate
Operate within company and legal regulations regarding PIPEDA,fraud, confidentiality, and private health information.
Responsible for updating all systems with caseload changes andfollow-up dates
Other duties may be assigned.
To perform this job successfully, the individual must be able toperform each essential duty effectively.The individual must possess;
Demonstrated ability to lead a team
Strong analytical and decision making skills
Ability to multitask and balance multiple goals and priorities
Excellent oral and written communication skills
Demonstrated ability to effectively deal with customers in a mannerthat is professional with a high degree of customer service
Strong understanding of insurance terminology and definitions
Familiarity with different medical claim forms
Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions.
EDUCATION and EXPERIENCE
One to two year certificate/degree from college or technicalschool
Minimum 3 years of life insurance adjudication experience
Fluency in spoken and written English required; fluency in French a definite asset.
Key relationships to manage appropriately and professionally;
External customers – Clients, Brokers, TPA’s, Vendors, medicalpersonnel, lawyers, Regulatory bodies, Industry bodies
Internal customers – Finance, Legal, Compliance, Sales,Underwriting, Customer Service, Reinsurance
Minimum Experience: 4 Years