Capgemini Team Lead - Operations in Halifax, Nova Scotia

About Capgemini

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)

SUMMARY

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.

QUALIFICATIONS

  • 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

LANGUAGE SKILLS

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

Qualifications

.

Minimum Experience: 4 Years