Bilingual STD / LTD Claims Adjudicator

April 10, 2015 by  
Filed under Jobs

STD/LTD Claims Adjudicator – Bilingual

Intermediate ($60k – $65) and Senior Roles Available ($70,000 +)

Comma Recruitment are looking for intermediate and senior Bilingual Disability Claim Adjudicators, you will review, assess and processes claims for applicable benefits using the technical knowledge obtained from the policies, procedural manuals, and industry and government communications.

 

Working in a team environment you will utilize your strong verbal and written communication skills when interacting with clients, claimants, and all relevant stakeholders.  The incumbent must be able to work independently with little supervision, possess the ability to distinguish priorities and adapt well to change.  The individual must work well under pressure, maintain production requirements and be willing to work overtime on occasion.

 

Responsibilities include:

  • Processes and manages all Weekly Income Claims paid directly, establishing eligibility, calculation of earnings and benefit levels, along with obtaining the necessary medical evidence.
  • Ensures all necessary documentation is provided to the insurance carrier in order for them to process any claims submitted to them for adjudication.
  • Ensures all claims are processed in date order, by automatically assisting other examiners in the processing of their assigned plan(s) when their own client base in good order.
  • Maintains daily production requirements as determined by the Manager.
  • Liaises in a professional manner with insurance agencies, doctors, trustees, members, management, lawyers and all other stakeholders, ensuring that only allowable information is released to recognized recipients and that all information is released in writing.
  • Responsible for bilingual communication both oral and written. This includes French to English translation.
  • Keeps abreast of industry and government requirements.
  • Maintains confidentiality over client and corporate records and medical claims information.
  • Operates priority claims payment database and is able to perform manual calculations as required.
  • Keeps the Manager aware of problems or areas of concern that require special attention.

 

QUALIFICATIONS

 

  1. Minimum one years related STD / LTD experience. Three years experience for senior candidates
  2. Must have experience adjudicating complex disability claims cases, from a group insurance environment
  3. Must possess excellent customer service skills, be team oriented and cooperative with co-workers, consultants and departments
  4. Bilingual fluency is required (English/French)
  5. Excellent analytical and letter writing skills, with attention to detail and accuracy
  6. Ability to prioritize, multi-task and adapt well to change in a busy office environment
  7. Ability to work well under pressure, meet deadlines and adhere to departmental standards.
  8. As a self-directed individual, demonstrated good judgment with the ability to initiate and accomplish tasks expediently and with minimum supervision.
  9. Possesses current knowledge and keeps abreast of industry and government requirements

 

Please forward resume to info@commarecruitment.ca

Intermediate AB Adjuster $55,000 – $65,000

March 30, 2015 by  
Filed under Jobs

Intermediate AB Adjuster – Mississauga

Comma Recruitment are looking for an intermediate AB Adjuster, you will be responsible for investigating, negotiating and settling minor to moderate Accident Benefits claims.

Responsibilities:

  • Confirm valid coverage.
  • Fully investigate and verify claims under Ontario’s S.A.B.S.
  • Fully investigate minor to moderate injuries.
  • Provide instruction and direction to internal and external vendors i.e.: independent adjusters, rehabilitation firms, translation firms, investigation firms, legal counsel
  • Calculate ultimate probable exposure and reserve accordingly.
  • Properly maintain a diary system to monitor files.
  • Ensure files are up to date with A.B. packages and forms, medical information, employment information and treatment information.
  • Report any serious injuries to Team Leader & Manager.
  • Prepare Major Loss Reports and participate in Claims Committee process as required
  • Comply with service standards as outlined in the claims manual.
  • Actively participate in settlement initiatives along with both private and mandatory (FSCO) mediations.

REQUIRED EXPERIENCE & QUALIFICATIONS:

Ideally 2 years Accident Benefits full file handling and adjusting experience, we would be open to a talented Junior AB with 12 months claims experience

Knowledge of regulatory and contractual obligations, medical terminology, vocational rehabilitation concepts and the Statutory Accident Benefits Schedule.

Detail oriented and well organized individual.

Strong oral and written communication skills and superb interpersonal skills.

Work well individually and as a part of a team.

Computer literacy with working knowledge of Microsoft Office and related programs

High School Diploma or equivalent and University or College Degree; have started on or are interested in working towards the CIP designation.

What we have to offer:

Excellent salary, two annual bonuses, full benefits and vacation package

Superb training and career development

Assistance and support with ongoing education

$55,000 – $65,000 Depending upon AB experience

 

Please forward resume to info@commarecruitment.ca

Senior Commercial Auto Underwriter

March 19, 2015 by  
Filed under Jobs

Senior Commercial Auto Underwriter

Comma Recruitment are looking for an experienced Senior Commercial Auto Adjuster with over 5 years relevant experience. This is an exciting opportunity for an enthusiastic and ambitious individual with a desire to make a significant growth and profit contribution to our Commercial Automobile Department.

This position will be responsible for underwriting, (assessing, evaluating, loss analysis, rating), and issuing of all New Business/Renewals/Endorsements/Cancellations within your assigned areas of accountability in accordance with our corporate guidelines and objectives.

You will also be responsible for training and coaching junior staff and demonstrating an exemplary level of broker service at all times.

You will work closely with our Business Development staff to develop and maintain positive business relationships with our broker partners.

Responsibilities:

  • Produce and underwrite new fleets, garages and other lines of business on a profitable basis, within service standards in accordance with company guidelines and within assigned authority
  • Maintain in-force policies and ensure all policies are issued within service standards with the appropriate wordings, schedules, and certificates attached;
  • Record underwriting information for the purpose of evaluation, assessment, and profitability;
  • Negotiate Facultative Reinsurance and process as required, within assigned authority and maintain facultative closings and certificates;
  • Assist with training and coaching of other staff as required;
  • Market our insurance products and services to Brokers through presentations;
  • Foster good broker relationships by Broker visits to promote our products;
  • Additional duties as assigned;

 

 

 REQUIRED EXPERIENCE, QUALIFICATIONS, and EXPECTATIONS:

  • 5+ years of experience in commercial automobile underwriting including senior-level experience in this area.
  • Strong product knowledge, and the ability to make sound underwriting decisions while managing mid-market, complicated accounts.
  • Strong oral and written communication skills and superb time management and organizational skills.
  • Ability to work well independently as well as part of a team.
  • Accountability, customer-centric thinking, teamwork and a commitment to excellence.
  • Enjoy working with our broker partners to establish professional relationships to achieve our growth and profit goals.
  • Professional, friendly, and courteous in all interactions with external and internal customers.
  • Computer literacy is required with working knowledge of Microsoft products and a comfort level with a company operating system.
  • Process a valid Ontario driver’s license and be capable of completing company travel as required.
  • A University/College Diploma or equivalent is required as well as completion of or working towards CIP/ FCIP designation.

 

Please forward resume to info@commarecruitment.ca

Bilingual Disability Claims Examiner $55,000 – $65,000

March 19, 2015 by  
Filed under Jobs

Bilingual Disability Claims Examiner – Toronto / Mississauga

Comma Recruitment are looking for intermediate and senior Bilingual Disability Claims Examiners, you will review, assess and processes claims for applicable benefits using the technical knowledge obtained from the policies, procedural manuals, and industry and government communications.

 

Working in a team environment you will utilize your strong verbal and written communication skills when interacting with clients, claimants, and all relevant stakeholders.  The incumbent must be able to work independently with little supervision, possess the ability to distinguish priorities and adapt well to change.  The individual must work well under pressure, maintain production requirements and be willing to work overtime on occasion.

 

Responsibilities include:

  • Processes and manages all Weekly Income Claims paid directly, establishing eligibility, calculation of earnings and benefit levels, along with obtaining the necessary medical evidence.
  • Ensures all necessary documentation is provided to the insurance carrier in order for them to process any claims submitted to them for adjudication.
  • Ensures all claims are processed in date order, by automatically assisting other examiners in the processing of their assigned plan(s) when their own client base in good order.
  • Maintains daily production requirements as determined by the Manager.
  • Liaises in a professional manner with insurance agencies, doctors, trustees, members, management, lawyers and all other stakeholders, ensuring that only allowable information is released to recognized recipients and that all information is released in writing.
  • Responsible for bilingual communication both oral and written. This includes French to English translation.
  • Keeps abreast of industry and government requirements.
  • Maintains confidentiality over client and corporate records and medical claims information.
  • Operates priority claims payment database and is able to perform manual calculations as required.
  • Keeps the Manager aware of problems or areas of concern that require special attention.

 

QUALIFICATIONS

 

  1. Post Secondary degree/diploma or business experience in a related field
  2. Minimum one years related STD / LTD experience. Three years for senior candidates
  3. Must have experience adjudicating complex disability claims cases, from a group insurance  environment
  4. Must possess excellent customer service skills, be team oriented and cooperative with co-workers, consultants and departments
  5. Bilingual fluency is required (English/French)
  6. Excellent analytical and letter writing skills, with attention to detail and accuracy
  7. Ability to prioritize, multi-task and adapt well to change in a busy office environment
  8. Ability to work well under pressure, meet deadlines and adhere to departmental standards.
  9. As a self-directed individual, demonstrated good judgment with the ability to initiate and accomplish tasks expediently and with minimum supervision.
  10. Possesses current knowledge and keeps abreast of industry and government requirements

 

Please forward resume to info@commarecruitment.ca

Commercial Production Underwriters

March 18, 2015 by  
Filed under Jobs

Production Underwriter – Property and Casualty

Comma Recruitment have an exciting opportunity for an enthusiastic and ambitious individual with a desire to make a significant growth and profit contribution to our Commercial Underwriting department

The primary responsibility is to meet or exceed the commercial growth and profit goals for your assigned brokers.

Responsibilities:

  • Liaise between Company and assigned brokers through face to face by visits, and other mediums of contact to produce and underwrite profitable new Commercial Property /Casualty business within service standards in accordance with company guidelines and within assigned authority.
  • Market our Commercial Insurance products and services to brokers through presentations.
  • Ensure that the renewal underwriters and underwriting assistants issue new business, renewals and endorsements accurately and within service standards with the appropriate wordings, schedules, and certificates attached.
  • Develop and maintain strong broker relationships.
  • Analyze and evaluate results and use individual/collaborative judgment to maintain profit and growth.
  • Communicate results, outstanding issues, opportunities to Director of Commercial Insurance.
  • Record underwriting information for the purpose of evaluation, assessment, and profitability.
  • Negotiate Facultative Reinsurance and process as required, within assigned authority and maintain facultative closings and certificates.
  • Assist with training and coaching of other staff as required.
  • Additional duties as assigned by the Director of Commercial Insurance.

 

Required Experience and Qualifications:

  • 5+ years of experience in commercial Property/Casualty underwriting, intermediate and senior roles available
  • Strong product knowledge, and the ability to make sound underwriting decisions while managing mid-market, complicated accounts.
  • Process strong oral and written communication skills, superb time management and organizational skills and strong negotiation and sales skills.
  • Ability to work well independently as well as part of a team.
  • Accountability, customer-centric thinking, teamwork and a commitment to excellence.

Please forward resume to info@commarecruitment.ca

Senior Personal Lines Underwriter

March 18, 2015 by  
Filed under Jobs

Senior Personal Lines Underwriter – High Value Clients

Comma Recruitment are looking for a talented Personal Lines Underwriter with experience with high net worth clients.

A strong and confident communicator with a professional telephone manner, must have the ability to assess risks, develop a network of high value contacts, create referrals and grow an existing book of business

Working Downtown Toronto, excellent base salary, benefits and bonus with industry leading commission structure.

Must have 3 years experience underwriting personal lines products with a successful track record of referrals and new business.

University education or equivalent experience.

Experience with VIP / high value clients is a great advantage

Full Time role, base salary, bonus and superb commission structure.

 

Please forward resume to info@commarecruitment.ca

 

Environmental Underwriter – Toronto

March 12, 2015 by  
Filed under Jobs

Special Risks Underwriter  –  Environmental

Comma Recruitment are looking for an experienced and talented Special Risks Underwriter with 3+ years experience and expertise within Environmental Underwriting.

• Develop and execute marketing plan to drive new and renewal business, including in-person visits 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, where required.
• Monitor key metrics, such as, new business hit ratio, renewal retention ratio, premium growth, and loss ratio, formulating corrective action where necessary
• Mentor and train Assistant Underwriters as needed

QUALIFICATIONS:

• Strong background and connections in Environmental Underwriting

• Bachelor’s degree or equivalent combination of education and experience
• Minimum 3 years of multi-line underwriting experience, excess & surplus experience an advantage
• Strong sales and marketing skills a must, business acumen, interest in continued education and professional development

• Insurance license, CIP or comparable designations preferred
COMPENSATION PACKAGE:

• Competitive base compensation & highly lucrative sales incentive bonus plan
• Employer paid continuing education courses and designations
• Many opportunities for career advancement

This is an outstanding opportunity for candidates with an entrepreneurial spirit, drive for career advancement and desire to develop relationships while growing a book of business.

Please forward resume to info@commarecruitment.ca

Intermediate Property Adjuster $45,000 – $50,000

March 2, 2015 by  
Filed under Jobs

Intermediate Property Adjuster – Downtown Toronto

Comma Recruitment are looking for a Property Adjuster with 1+ years experience handling Property Claims, an intermediate adjuster or a bright Junior with over 12 months property claims handling experience

The Adjuster is responsible for providing efficient and prompt investigation, evaluation, negotiation, and settlement of moderate size and/or moderately complex claims in accordance with corporate guidelines and best practices

•             Investigate, appraise/scope, confirm coverage, negotiate settlement and recovery, and conduct reporting and documentation of claims of moderate size and/or moderate complexity in accordance with established guidelines.

•             Ensure the accurate and efficient payment of claims.

•             Prepare summaries and files for litigation, mediation/arbitration, and multidisciplinary assessments.

•             Adhere to service standards by communicating effectively with all parties involved.

•             Develop relationships with other departments such as underwriting in order to meet business goals.

•             Understand and apply best business practices towards compliance, internal control and operational risk controls in accordance to national standards and regulatory standards and policies.

•             Work collaboratively with Supervisors and/or Managers on special projects and assignments when required.

 

Qualifications

•             Post-secondary education and / or equivalent on the job experience

•             Minimum 1-3 years Claims adjusting experience.

•             Working knowledge of the company principles and practices related to claims settlement, policy wordings, insurance contracts, fraud investigations, serious losses and coverage questions.

•             Ability to work within and adapt to PC oriented environments, including familiarity with e-mail and Internet skills. Working knowledge of Microsoft Office.

•             Actively pursuing CIP designation an asset.

•             Ability to understand and interpret complex insurance contracts and changes in the interpretation as a result of case or statuary law.

•             Ability to demonstrate patience, empathy and understanding in dealings with customers.

•             Ability to plan, organize, and manage multiple demands and changing priorities.

•             Strong analytical, problem-solving skills, investigative, and decision-making skills.

•             Demonstrated negotiation skills.

•             Ability to provide prompt, efficient, and courteous service to all parties involved.

•             Ability to assess liability and understand case law developments in the jurisdiction.

•             Demonstrated report-writing skills, including an orientation toward detail and precision.

•             Demonstrated ability to work well as a team player or independent contributor; Self-motivated.

•             Excellent communication (both oral and written) skills to explain processes and terms.

 

Please forward resume to info@commarecruitment.ca

Senior Life and Critical Illness Underwriter $50,000 – $60,000

February 18, 2015 by  
Filed under Jobs

Senior Life and Critical Illness Underwriter

Comma Recruitment are looking for a Senior Life and Critical Illness Underwriter, the successful candidate will be responsible for sound and accurate assessment of medical and financial information to minimize risk exposure for life & critical illness business.

KEY RESPONSIBILITIES:

  • Underwrite new business using sound underwriting guidelines for morbidity and mortality within service standards in accordance with company guidelines
  • Work within assigned authority along with reinsurance guidelines
  • Document underwriting methodology and processes
  • Communicate with field associates in answering questions, and/or advising unfavorable decisions
  •  Support and provide feedback to the Director in the development of new guidelines and finding efficiencies

EXPERIENCE:

  • Knowledge of medical/legal terminology is required
  • Insurance Background & Knowledge in similar role is preferred
  • Community college diploma or university degree is an asset
  • Working towards or nearing completion of LOMA, FLMI, and ALU designations
  •  Ability to think logically and analytically
  • Sound judgment and decision making skills, high accuracy level and attention to detail
  • Strong Team Player and self-starter, ability to make sound decisions
  • Strong time management and organizational skills
  • Excellent verbal and written communication skills
  • Ability to multi-task in a fast-paced environment
  • Eagerness to learn and be self-motivated to develop a career path in Underwriting
  •  Must be computer literate, strong computer skills within a Windows environment
  • Flexibility with working hours

Please forward resume to info@commarecruitment.ca

 

Senior Property Adjuster – Downtown Toronto

February 13, 2015 by  
Filed under Jobs

Comma Recruitment are looking for a Property Adjuster with 3-5 years experience handling commercial and residential Property Claims

The Adjuster is responsible for providing efficient and prompt investigation, evaluation, negotiation, and settlement of moderate size and/or moderately complex claims in accordance with corporate guidelines and best practices

•             Investigate, appraise/scope, confirm coverage, negotiate settlement and recovery, and conduct reporting and documentation of claims of moderate size and/or moderate complexity in accordance with established guidelines.

•             Ensure the accurate and efficient payment of claims.

•             Prepare summaries and files for litigation, mediation/arbitration, and multidisciplinary assessments.

•             Adhere to service standards by communicating effectively with all parties involved.

•             Develop relationships with other departments such as underwriting in order to meet business goals.

•             Assist Manager with preparing/completing monthly statistical reports.

•             Understand and apply best business practices towards compliance, internal control and operational risk controls in accordance to national standards and regulatory standards and policies.

•             Mentor and train less experienced claims and support staff as required.

•             Work collaboratively with Supervisors and/or Managers on special projects and assignments when required.

 

Qualifications

•             Post-secondary education and / or equivalent on the job experience

•             Minimum 3-5 years Claims adjusting experience.

•             Working knowledge of the company principles and practices related to claims settlement, policy wordings, insurance contracts, fraud investigations, serious losses and coverage questions.

•             Ability to work within and adapt to PC oriented environments, including familiarity with e-mail and Internet skills. Working knowledge of Microsoft Office.

•             Actively pursuing CIP/FCIP designation an asset.

•             Ability to understand and interpret complex insurance contracts and changes in the interpretation as a result of case or statuary law.

•             Ability to demonstrate patience, empathy and understanding in dealings with customers.

•             Ability to plan, organize, and manage multiple demands and changing priorities.

•             Strong analytical, problem-solving skills, investigative, and decision-making skills.

•             Demonstrated negotiation skills.

•             Ability to provide prompt, efficient, and courteous service to all parties involved.

•             Ability to assess liability and understand case law developments in the jurisdiction.

•             Demonstrated report-writing skills, including an orientation toward detail and precision.

•             Demonstrated ability to work well as a team player or independent contributor; Self-motivated.

•             Strong leadership skills and interpersonal skills.

•             Excellent communication (both oral and written) skills to explain processes and terms.

 Please forward resume to info@commarecruitment.ca

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