Bilingual Senior Medical Underwriter Group

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top 100 Employers, Canada’s Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company. 
 
Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We’re committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.
 
Together with Medavie Health Services, we are part of Medavie — a national health solutions partner with over 7,700 employees. Our mission is to improve the wellbeing of Canadians.

What’s in it for you? What makes us a different kind of employer? We WANT you to have work-life balance, it’s in our DNA. Paid time off to take care of yourself or the ones you love and because we’re in the health business – paid benefits and perks to keep you at your very best.

Common goals and collaboration, that’s what our team is all about, we offer:

• A diverse team of colleagues with multiple fields of expertise.
• Comprehensive health and dental plan that is 100% employer paid effective on your first day.
• We pay you to become awesome – we offer comprehensive paid corporate training.
• Opportunities for career development and advancement.
• Emphasis on work life balance, providing wellness benefits, health resources and fitness center discounts.
• A great work environment from your co-workers to an award-winning culture focused on improving the health of Canadians.

We’re looking for a Medical Underwriter - this is a great role for an experienced Medical Underwriter or for someone with a medical background who thrives in a fast-paced environment where accuracy and attention to detail are second nature. We need someone who is self-directed, organized, is eager to learn and is interested in research. Our award-winning culture, leaders who really care, unmatched training and support are all dedicated to ensuring you are set up for success.

Your everyday with us:

• You will analyze and manage medical underwriting requests to determine product eligibility – dealing directly with our members.
• Analyze and review the medical risk based on medical evidence & requirements to independently make quality decisions relating to eligibility of coverage and issuance of health or life plans.
• Approve cases within authority limit, submitting cases exceeding limits to be co-signed.
• Interact on the phone directly with clients, brokers/agents, physicians and other departments.
• Document decisions in underwriting system and prepare written correspondence.
• Contribute to a positive environment through teamwork, and a spirit of innovation, continuous improvement, and professional development.
• Maintain medical knowledge and stay current on underwriting approaches.

What you need to succeed:

• Analytical, judgement, problem-solving, critical thinking and decision-making skills.
• Influencing and negotiation skills.
• Knowledge of medicine and risk factors.
• Medical (nursing, LPN, or similar) or insurance background.
• Post-secondary diploma or degree and/or relevant working experience.
• Bilingual is a bonus- spoken/written English and French.
• Strong communication – (email, letter writing, phone), you are clear and concise, you are confident and able to effectively explain your decisions and navigate through many different conversations.
• Contribute to a positive environment through teamwork, innovation, continuous learning, and improvement, as well as professional development.
• ALU/LOMA certification/training is an asset.
• Existing authority limits is also an asset!

We are an Equal Opportunity Employer. 

Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.

For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.

We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.