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BMO Financial Group Bilingual Senior Claim Specialist in Toronto, Ontario


60 Yonge Street

Job Family Group:

Wealth Sales & Service

the incumbent for this role must be bilingual

We are BMO Life Assurance


At our core, we’re builders – proud to be fueling growth and expanding possibilities for individuals, families and businesses.


BMO’s Purpose is to Boldly Grow the Good in business and life. It guides every decision we make, and inspires and empowers us to do more for the customers and communities we serve. As a commercial enterprise, we are intent on growing, but believe that growth must be inclusive, creating benefits for families, businesses and the wider world around us. Our focus is more than profit – it’s progress.

BMO’s Purpose identifies what we are here to do. BMO’s four values illuminate who we are.

We are looking for a Bilingual Experienced Senior Claim Specialist

As part of a small dynamic team focused on the business of paying claims, you will have the opportunity to support our clients, claimants, MGA’s and Advisors by adjudicating a variety of Individual and Direct to consumer claims. We are looking for a bilingual Senior Claim Specialist with proven experience in adjudicating Individual Life, Critical Illness and Disability claims.

What will you do?

  • Assess claims based on their individual merit and adjudicate in a fair manner

  • Manage assigned case load in an effective manner, escalating any issues or concerns, to ensure ongoing effective claim operations and adjudication

  • Follows established policies & procedures including authority and signing authority to manage the risks inherent in claims operations and escalate any issues or concerns

  • Address any client or claimant issue, escalating as required for any complaint situation

  • Maintain effective relationships with clients, claimants, beneficiaries, MGAs and Advisors to deliver the desired client experience and retain clients for BMO Life Assurance

  • Build effective relationships with internal and external (Reinsurance) stakeholders.

  • Support and participate the execution of strategic initiatives in collaboration with internal and external stakeholders

  • Participate in and conduct quality reviews identifying and addressing any issues identified to help reduce risk inherent in claims operations

  • Provide specialized consulting, analytical and technical support.

  • Exercise judgment to identify, diagnose, and solve problems within given rules.

  • Work independently and regularly handle non-routine situations.

What you will bring:

  • Fluency in both French and English

  • Between 5-7 Years of relevant adjudication experience post-secondary degree in related field of study or an equivalent combination of education and experience.

  • Expert level knowledge of individual insurance products, contracts and benefit plans (Life, CI, DI)

  • Deep knowledge and technical proficiency gained through extensive education and business experience.

  • Verbal & written communication skills - In-depth.

  • Collaboration & team skills - In-depth.

  • Analytical and problem solving skills - In-depth.

  • Influence skills - In-depth.

  • Data driven decision making - In-depth.

We’re here to help

At BMO we are driven by a shared Purpose: Boldly Grow the Good in business and life. It calls on us to create lasting, positive change for our customers, our communities and our people. By working together, innovating and pushing boundaries, we transform lives and businesses, and power economic growth around the world.

As a member of the BMO team you are valued, respected and heard, and you have more ways to grow and make an impact. We strive to help you make an impact from day one – for yourself and our customers. We’ll support you with the tools and resources you need to reach new milestones, as you help our customers reach theirs. From in-depth training and coaching, to manager support and network-building opportunities, we’ll help you gain valuable experience, and broaden your skillset.

To find out more visit us at

BMO is committed to an inclusive, equitable and accessible workplace. By learning from each other’s differences, we gain strength through our people and our perspectives. Accommodations are available on request for candidates taking part in all aspects of the selection process. To request accommodation, please contact your recruiter.

BMO Financial GroupServing customers for 200 years and counting, BMO is a highly diversified financial services provider – the 8th largest bank, by assets, in North America. With total assets of $728 billion as of October 31, 2018, and a team of diverse and highly engaged employees, BMO provides a broad range of personal and commercial banking, wealth management and investment banking products and services to more than 12 million customers and conducts business through three operating groups: Personal and Commercial Banking, BMO Wealth Management and BMO Capital Markets.We serve Canadian clients through BMO Bank of Montreal®, our personal and commercial banking business, BMO Nesbitt Burns®*, one of Canada's leading wealth management firms, and BMO Capital Markets™, our North American investment and corporate banking division.In the United States, clients are served through BMO Harris Bank, a major U.S. Midwest personal and commercial bank, and BMO Private Bank, with wealth management offices across the United States, as well as BMO Capital Markets™, our North American investment and corporate banking division.We help our customers make money make sense by delivering the broadest range of financial services through a single point of contact. Our financial service professionals provide access to any services our customers require across the entire enterprise.