Medical Underwriter Individual

Posting Date: Sep 27, 2024

Location: CA

Company: Medavie Blue Cross

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 8,250 employees. Our mission is to improve the wellbeing of Canadians.

 

Job Title: Medical Underwriter Individual
Department: Client Solutions 
Competition: 87418
Internal/External: Both
Employment Type: Full Time Permanent
Location: Flexible work arrangement (fully remote or hybrid options available)
Salary: Competitive salary and benefits 
Reports To: Team Leader   
    

 

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.

 

We’re looking for a Medical Underwriter. This is a great role 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.

 

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
     

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
  • Bilingualism 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 believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs.  We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.


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