Manager – Health and Dental Claims $75,000 – $80,000

March 21, 2018 by  
Filed under Jobs

Manager – Health and Dental Claims  

Comma Recruitment are looking for a Manager, Health & Dental Claims & Central Services, a talented claims adjuster with management experience, 5 years progressive claims experience with management/leadership experience.

You are responsible for the work flow/ operations of the Departments which are in a fast-paced environment, and are deadline oriented, process driven, and customer service sensitive. You will be responsible for coaching, mentoring and continuous process improvement, improving efficiency by identifying improvement opportunities.

The ideal candidate has expert knowledge of the group benefits industry and has hands on experience in all facets of medical, dental and ancillary claims. You will work closely with Team Leaders, staff and all departments to ensure the smooth work flow required in order to meet required department standards, deadlines and targets.

You may be required to step into any role within the department in order to support the team as needed.

You will support and coach the leadership skills of the Team Leads in order to ensure work is prioritized and completed according to service standards. You will effectively deal with staff conflict to achieve satisfactory working relationships, including performance evaluations and career development (training) plans.

As they arise, you will resolve organizational and customer related issues, and respond and act upon problems or areas of concern brought forward by the Team Leaders and staff that require special attention.

Qualifications

  • 4 – 5 years progressive experience in a leadership role, with a minimum of five years experience in a senior role in a claims department
  • Minimum 5 years progressive experience in a group benefits or insurance environment with extensive knowledge of all medical and dental claims
  • Excellent leadership and people management skills with a demonstrated ability to motivate, mentor and develop staff including previous performance management experience
  • Excellent communication and interpersonal skills including well developed listening skills and ability to provide constructive feedback
  • Excellent time management and organizational skills; must be detail orientated
  • Demonstrated ability to analyze and lead process improvement
  • Must be able to manage multiple priorities in an environment of continuous change
  • Self motivated, results orientated – takes pride in a successful team
  • Excellent problem solving skills and the ability to prioritize conflicting demands
  • Keeps abreast of Industry trends and related legislative rulings
  • Ability to present well in client meetings.
  • Experience dealing within a contact center environment an asset

Please forward resume to info@commarecruitment.ca

Medical / Dental Claims Specialist $60,000+

March 21, 2018 by  
Filed under Jobs

Medical / Dental Claims Specialist 

Comma Recruitment are looking for a medical and dental claims specialist with 3+ years adjudication experience, responsible for handling large and complex Health and Dental claims and providing the tools necessary for them to identify any potential fraudulent claims. You will also develop and maintain the department processes and administrative practice documents. When the need arises, you’ll eagerly back up and be a resource for Team Leaders.

You will be responsible for auditing and overseeing scheduled and random audits of claims examiners and electronically submitted claims. It will be your responsibility to set up new medical/dental plans and amendments.

On a day to day basis you will conduct internal claim audits to ensure a high standard of adjudication. You will maintain an audit file for each examiner, and submit a written report of findings to the Manager on a weekly basis. Quarterly, you will organize and chair one department meeting to report on all recent fraud issues, initiatives and system process improvements or changes.

In this role, you will provide the Claim Manager with all supporting documentation and reports relating to, but not limited to, fraudulent claims, audited claims and key performance measures.

Success in this role would be the mastery of the processes you touch on a day-to-day basis and your ability to keep abreast of industry and government requirements.  Success could lead to taking on a supervisory role.

This role requires:

  • Resilience – you know how to juggle deadlines and competing demands. When you’re under pressure, you rise to the occasion.
  • Team mindset – you look for ways to pitch in, and work well with a variety of personalities.
  • A positive attitude – our team is a positive, supportive group. When work is challenging, you’ll face it with optimism.
  • You present yourself professionally in your writing, speaking and appearance.

Qualifications

  • 3 – 5 years adjudicating Health and Dental Claims, experience with auditing claims would be an asset.
  • Superior communication and customer service skills
  • Requires above average report preparation skills, using current computer related tools (Excel, Power Point)
  • Requires the ability to present well in client meetings and to lead department meetings
  • Excellent analytical and letter writing skills, with attention to detail and accuracy
  • Ability to prioritize, multi-task and adapt well to change in a busy office environment
  • Ability to work well under pressure, meet deadlines and adhere to departmental standards
  • As a self-directed individual, you demonstrate good judgment with the ability to initiate and accomplish tasks expediently and with minimum supervision

Please forward resume to info@commarecruitment.ca

Casualty Claims Strategic Manager/ Director $110k +

March 20, 2018 by  
Filed under Jobs

Casualty Claims Strategic Manager/ Director

Comma Recruitment are looking for a Casualty Claims Manager with experience in complex AB and BI Adjusting. You will provide technical and strategic guidance as well as analysis and recommendations to Directors and Claims Managers to achieve department objectives.

This is a Senior Management role which will not involve adjusting or managing files, this role is a strategic leadership position for an analytical Claims Manger/Director.

7+ years experience in AB, BI and Litigation, including large, complex and catastrophic claims.

  • Assure proper execution and regional regulatory legislative compliance of claim procedures and practices
  • Provide advice/guidance in the development of regional employees
  • Arrange & participate in quality reviews as required (including other regions)
  • Develop appropriate action plans with respect to severity, quality and customer experience
  • Develop opportunities identified through reviews, trend analysis and feedback from managers and staff
  • Provide advice to Corporate Risk, Data & Analytics and sales partners via participation in team meetings on claim trends, product offerings, coverage concerns
  • Provide analysis on actual plan variances and other trends impacting severity and expense plans
  • Monitor quality and consistency of all vendors
  • Identify needs gaps and monitor implementation of approved solutions designed to enhance quality, cost containment and customer satisfaction results
  • Ensures compliant to legislative requirements and identifies risks and participates in action plans to mitigate risk
  • Share knowledge, lead/participate/arrange training and other activities for Ontario Casualty

Qualifications & Experience:

  • University Degree/College Diploma
  • Strong knowledge of legislation requirements and current trends within the P&C insurance industry
  • Strong knowledge of casualty claim processes & procedures including rehabilitation concepts
  • Must have strong/advanced analytical, communication, and coaching skills
  • Enrolled in, or completion of CIP/FCIP
  • Minimum of 7-10 years of injury claims experience including catastrophic and complex Bodily Injury litigation claims handling
  • Ability to develop, implement, and measure programs and processes that proactively address adverse severity trends
  • Superior coaching skills, ability to work with groups, and proven ability to influence others
  • Advanced MS Office knowledge, Tableau, Access, etc.
  • Able to travel as required

Please forward resume to info@commarecruitment.ca  

Personal Lines Sales Broker $45,000 base + commission

March 4, 2018 by  
Filed under Jobs

Personal Lines Sales Broker     $45,000 base + Commissions + Benefits and Vacation.

Comma Recruitment are looking for a RIBO licensed sales and service representative.

The sales broker role is responsible for the growth of personal lines business through inbound and outbound sales activities. This position requires a good knowledge of personal lines coverage, while being familiar with insurance industry guidelines and underwriting criteria.

Sales leads will be provided and there are great opportunities to represent the company at group insurance meetings, sponsored events and industry social events

Salary of $45,000 + Commissions, expected earnings $55k+

Full benefits and vacation package, all education and training paid for, superb promotion and professional development opportunities.

Responsibilities:

  • Grow personal lines network with support from management to achieve sales goals
  • Inbound and outbound calls to close personal lines home and auto sales.
  • Ensure accurate risk selection and adhere to underwriting criteria
  • Provide accurate and timely quotes to potential customers
  • Proactively seek the opportunity to cross-sell other lines of business
  • Demonstrate a professional attitude and maintain a customer-centered approach
  • Follow company and brokerage procedures and workflow requirements

Qualifications:

  • RIBO Licensed
  • Experience in personal lines insurance sales.
  • Excellent written and oral communication skills
  • Computer and keyboarding skills

Please forward resume to info@commarecruitment.ca

Bilingual Claims Investigators – Toronto

February 23, 2018 by  
Filed under Jobs

Bilingual Claims Investigators – Toronto

Comma Recruitment are looking for Bilingual Inside Special Investigators to join the Investigative Services Team.  In this role, you will analyze and investigate claims, moderate to high levels of complexity alongside assist in triaging claims that require further investigation. There will also be a focus on entering data into our metrics-tracking software.

This is an office-based position and requires minimal travel throughout Ontario.

  • Use our Fraud Detection Software to detect suspicious claims
  • Review and analyze claims from multiple lines, for suspected fraud and determine type and scope of investigation required. Utilize loss control tools and gather essential information from all possible resources to recommend further investigation or close non-suspicious tasks.
  • Use our Fraud Detection Software to detect suspicious claims
  • Liaise with Special Investigation Units to support your investigators
  • Conduct investigations by telephone and using internet technology where required. Document the investigations by collecting and securing proof of fraudulent activities. Provide prompt and detailed reports to claims adjusters and management.
  • Analyze gathered information and evaluate evidence. Contact Police departments to pursue further information when necessary.
  • Provide backup for all Investigative Services admin-related functions, when necessary
  • Provide maintenance and support for the loss and control technology by: responding to queries regarding the system, communicating and coaching on procedures, testing the application, investigating problems and liaising with IT to resolve complex issues.
  • Review and analyze claims from multiple lines, for suspected fraud and determine type and scope of investigation required. Utilize loss control tools and gather essential information from all possible resources to recommend further investigation or close non-suspicious tasks.

Qualifications

  • Insurance related claims investigation experience and fully bilingual French and English
  • Accident Benefits, Bodily injury or Property Damage adjusting experience an asset
  • Good communication and presentation skills.
  • Natural curiosity, persistence and the ability to conduct detailed research.
  • Strong critical thinking and problem-solving skills
  • Solid knowledge of insurance trends, developments and current regulations.
  • Ability to work under pressure and handle multiple stakeholders while meeting tight deadlines.
  • Advanced user of standard desktop tools.
  • Team player

Please forward resume highlighting insurance related investigation experience to info@commarecruitment.ca

Auto Claims Contact Centre Full training, Full Time $40 – $45k Salary

February 23, 2018 by  
Filed under Jobs

Auto Claims Contact Centre     Full training, Full Time $40 – $45k Salary  

Comma Recruitment are looking for talented communicators with call centre experience to provide customer service and assist members with auto and property insurance claims.

Full training provided including in-class education, mentoring and on-going on the job training.

Salaried position with base of $40,000 – $45,000 + extensive benefits package and vacation.

Working with multi national insurance company, incoming call centre where service is of paramount importance.

Must be very strong communicators, excellent IT skills and a positive attitude. Ability to Multi-task in a fast paced environment.

Reliable people with professional attitude along with the ability to learn and develop whilst providing first class customer service.

Please forward resume to info@commarecruitment.ca

Independent Road Adjusters

February 20, 2018 by  
Filed under Jobs

Independent Property Claims Road Adjusters

Comma Recruitment are looking for talented property claims adjuster, must have experience with personal and / or commercial lines along with experience handling large and complex claims.

Work from home opportunity covering Kingston, Ottawa or London, Ontario.

Experience road adjusting, scoping, estimating and using Xactimate an asset

Essential Duties and Responsibilities:

  • Confirm policy coverage
  •  Proactive and thorough investigation and direct handling of losses
  •  Negotiate and settle losses within authority
  •  Document all conversations and file activity.
  • Coach and mentor more junior staff
  • Act as liaison with other departments, brokers and vendors

Required Experience and Qualifications:

  • 3+ years experience with Property Claims for Intermediate role
  • 5-10 years’ experience adjusting personal and commercial lines property losses for Senior position
  • Skilled in interpreting personal and commercial lines wordings, as well as the Insurance Act of Ontario.
  • Must have strong organizational, communication and prioritization skills.
  • Energetic, enthusiastic individual who is able to work independently and contribute as part of a team.
  • College/University degree or equivalent, and working towards CIP designation.

Please forward resume to info@commarecruitment.ca

Property Claims Adjuster – Kingston and Ottawa

February 11, 2018 by  
Filed under Jobs

Property Claims Adjuster

Comma Recruitment are looking for a talented intermediate / senior property claims adjuster, must have experience with personal and / or commercial lines along with experience handling large and complex claims.

Essential Duties and Responsibilities:

  • Confirm policy coverage
  •  Proactive and thorough investigation and direct handling of losses
  •  Negotiate and settle losses within authority
  •  Document all conversations and file activity.
  • Coach and mentor more junior staff
  • Act as liaison with other departments, brokers and vendors
  •  Actively participate in the Major Loss Committee Process

Required Experience and Qualifications:

  • 3+ Years experience with Property Claims for Intermediate role
  • 5-10 years’ experience adjusting personal and commercial lines property losses for Senior position
  • Skilled in interpreting personal and commercial lines wordings, as well as the Insurance Act of Ontario.
  • Must have strong organizational, communication and prioritization skills.
  • Energetic, enthusiastic individual who is able to work independently and contribute as part of a team.
  •  Computer literacy with working knowledge of Microsoft Office products
  • College/University degree or equivalent, and working towards CIP designation.

Please forward resume to info@commarecruitment.ca

Intermediate and Senior Aviation Underwriters – Toronto

February 4, 2018 by  
Filed under Jobs

Intermediate and Senior Aviation Underwriter – Toronto

Comma Recruitment are looking for Intermediate and Senior Underwriters, Aviation with 3+years experience in Aviation Underwriting or 5 years in a broker or similar Aviation position.

 

Evaluate, analyze, and price requests for risks across various insurance product lines, including General Aviation, Airports & Aviation General Liability, and Aerospace Products Liability.

This is a customer facing role where you will be a key contributor to driving profitable growth for our Canada’s aviation portfolio, as well as promoting our positive image amongst clients, brokers, and the marketplace.

 

Responsible for contributing to the teams production and profitability, including working within the company’s underwriting appetite, business processes and guidelines.

 

Production and underwriting of new and renewal aviation business, applying appropriate use of rating tools and judgement in risk analysis.

Escalate authority referrals to senior management when required, ensure files are well documented and comply with corporate standards.

Collaborating with other underwriters and senior management to grow the portfolio and deliver results consistent with our strategic plan.

Represent the company at aviation industry events as appropriate

 

This is an intermediate level role requiring 3 years of aviation underwriting experience, or 5 years experience dealing with aviation insurance from a non-underwriting background. Would be open to a talented Senior with greater experience for a more senior position.

Please forward resume to info@commarecruitment.ca   

Personal Lines Sales Broker

January 19, 2018 by  
Filed under Jobs

Personal Lines Senior Broker

Comma Recruitment are looking for a Personal Lines Broker with either a strong sales/ broker experience or an underwriting background.

A senior role, business development with superb base salary, bonus and benefits, vacation package. Salary starting around $65k – $75k + bonus

The ability to market and grow a book of high value/high net worth clients and develop and execute marketing plans to drive new and renewal business, including in-person visits, telemarketing and distribution of marketing materials for insurance company partners.

Evaluate, classify, and rate each risk to determine acceptability, coverage, and pricing

Develop and submit underwriting referrals, monitor key metrics, such as, new business hit ratio, renewal retention ratio, premium growth, and loss ratio, formulating corrective action where necessary

Qualifications

Minimum 3 years of personal lines experience, excess & surplus experience an asset.

Strong sales and marketing skills, interest in continued education and professional development

We offer a competitive base salary :

  • Highly lucrative sales incentive bonus plan
  • Health benefits
  • Employer paid continuing education courses and designations
  • Many opportunities for career advancement

Please forward resume to info@commarecruitment.ca   

« Previous PageNext Page »