Claims Specialist

June 1, 2018 by  
Filed under Jobs

Claims Specialist

Comma Recruitment are looking for a Claims Specialist who will be responsible for coordination of all claims received through the Broker Account. This is a client service role that will interact extensively with various parties involved in the claim process including Brokers, Insurance companies, Insureds, Adjusters as well as corporate office team members.  In addition to claims intake and file coordination, this role must represent itself as a Claims Partner and advocate for the Broker client to ensure a successful claim experience.

  • Maintain daily access in the telephone queue in accordance with our expectations, for intake of new claims.
  • Intake and setup of new claims through email, telephone contact or after-hours assignment.
  • Gather and coordinate necessary documentation and information related to the claim in order to create a notice of loss and distribute to appropriate Carrier reporting channels within established timelines.
  • Input and setup new claims, triage claims via email, fax, web submission, and/or telephone in accordance with the Broker Claim Services Agreement and our protocols.
  • Adhere to and maintain file diary schedule in the Broker operating system. Diaries for all claims setup must be kept current and relevant at all times
  • Cross-train Junior Claims Specialist to support Broker account as necessary.
  • Provide support on all other accounts by assisting with backlog of intake and setting up claims from the telephone queue.

File Coordination (40%)

  • Maintain regular contact with Carrier, Adjusters and Examiners by telephone or email to obtain open claim status information and access our electronic file and Broker operating systems concurrently; support the Adjuster in keeping the client up-to-date.
  • Manage all incoming claim correspondence from Carriers or Adjusters to update the status of claims. Incoming correspondence and or documents must be input into the Broker operating system and cleared within 5 days of receipt.
  • Provide Management Reports for corporate office and Broker Accounts as requested.

Claims Advisor (20%)

  • Advise, guide and answer questions on the claim process to the Broker Client through telephone/email contact or in-person.
  • Through contact with Carrier Adjuster/Examiner advocate for the Broker Client regarding the process. • Respond to Broker Client calls received directly following claim setup and answer questions on behalf of the Broker.
  • Advise Insureds of no coverage (in consultation with their Broker) in a professional and empathetic manner in order to rectify problems on their own and/or support looking after their needs.

QUALIFICATIONS

  • 3 – 5 + years of insurance adjusting industry or broker claims experience an asset.
  • A post-secondary education or a combination of relevant education and on-the-job experience.
  • Working knowledge of Auto/Property adjusting and claim adjudication process preferred.
  • Actively pursuing CIP designation preferred with completion of Auto License course through FSCO/CIAA an asset or willingness to enroll in and complete the CIP curriculum within the specified timeline.
  • Prior experience in customer service environment required.
  • Excellent oral and written communication skills.

Please forward resume to info@commarecruitment.ca

Property Claims Field Adjuster – Toronto

May 29, 2018 by  
Filed under Jobs

Property Claims Field Adjuster – Toronto

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

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:

  • 2+ years experience with Property Claims
  • Personal Lines and Commercial Lines experience
  • 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

Commercial Property Claims Specialist, Construction and Builders Risk Claims

May 23, 2018 by  
Filed under Jobs

Commercial Property Claims Specialist – Construction and Builders Risk

Comma Recruitment are looking for talented commercial property claims adjuster, must have experience with commercial lines along with experience handling Construction and Builders Risk

Experience adjusting commercial claims, large and complex claims, experience scoping, estimating and using Xactimate an asset, position will be office based and will require some travel.

Essential Duties and Responsibilities:

  •  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:

  • Experience with Commercial Property Claims, investigating, negotiating and settling Commercial Property, Builders Risk and Construction Claims
  • Skilled in interpreting 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 experience and working towards/ completed  CIP designation.

Please forward resume to info@commarecruitment.ca

Claims Manager – All Lines Adjuster $80,000 – $90,000

May 8, 2018 by  
Filed under Jobs

Claims Manager – All Lines  $80,000 – $90,000

Comma Recruitment are looking for a Claims Manager, all lines senior adjuster with leadership experience.

The role brings a range of responsibilities including managing adjusters/claims management, Auditing and claims quality control, managing clients and supervising admin and small intake team, general leadership and motivating and mentoring the team.

  • A minimum of 5 years of progressive claims experience
  • Leadership experience /people management experience in a claims environment.
  • An All-Lines licensed Adjuster with your CIP, FCIP or CRM designation or working towards
  • Progressive Personal and Commercial Property and General Liability claim handling experience.
  • Demonstrated ability to monitor claims procedures, practices, standards and controls to drive results for operational excellence, financial performance, customer service, compliance, and conflict resolution.
  • Strong oral and written communication, and presentation skills with capability of communicating with influence to key stakeholders and senior management.
  • Strong sense of accountability, adaptability, decision making and problem solving skills, and planning and organizing abilities.
  • A genuine desire to create and improve the quality of service we provide as well as the experience of our team members.
  • A creative thinker comfortable with implementing out of the box solutions and leveraging past experiences to create new solutions.

Please forward resume to info@commarecruitment.ca

Senior Auto PD Adjuster – Toronto $50k – $55k

May 8, 2018 by  
Filed under Jobs

Senior Auto PD Claims Adjuster $50k – $55k

Comma Recruitment are looking for a talented Auto PD Claims Adjuster with a passion for customer service.

File coordination, working with IA’s and insurers.

Advise clients on the claims process and answer questions from adjusters and insurers.

  • 2 – 5 years of insurance adjusting industry or broker claims experience
  • Working knowledge of Auto/Property adjusting and claim adjudication process preferred.
  • Actively pursuing CIP designation preferred with completion of Auto License course through FSCO/CIAA an asset or willingness to enroll in and complete the CIP curriculum within the specified timeline.
  • Prior experience in a claims and customer service environment required.
  • Excellent oral and written communication skills.
  • Proficiency with Microsoft Office products (i.e., Email, Word, Excel) and ability to learn various systems

Full time position, Monday – Friday, Flexible hours.

Please forward resume to info@commarecruitment.ca

Junior Claims Adjuster $40k – $47k

May 8, 2018 by  
Filed under Jobs

Junior Claims Adjuster :  Auto / Property $40,000 – $47,000 Full Time

Comma Recruitment are looking for a claims adjuster with some experience/exposure to auto and property claims.

1+ years experience with claims intake or claims handling.

Ideal role for a talented claims assistant to step up into a first notice of loss role.

Superb customer service skills, organized and efficient.

Knowledge of claims process, legislation and ability to multi task in a fast paced claims environment.

You will be responsible for handling the intake of auto, property and liability claims and the accurate creation of first notice of loss.

Full time position, Monday – Friday, Flexible hours.

Please forward resume to info@commarecruitment.ca

Bilingual Assistant Manager – Underwriting $70k GTA

March 28, 2018 by  
Filed under Jobs

Bilingual- Assistant Manager, Underwriting

Comma Recruitment are looking for a talented bilingual (English and French) underwriter with experience underwriting accident, disability, life and health policies.

Ability to train, mentor and coach staff along with technical underwriting experience.

  • Provide ongoing training, coaching and supervision to underwriting staff members.
  • Implementing and maintaining department policies, guidelines, procedures and reports
  • Manages the transaction service levels of the Underwriting department
  • Develop, co-ordinate and conduct the appropriate technical training for all underwriting employees.
  • Reporting system challenges, testing and coordinating resources as appropriate
  • Assisting employees as the key individual providing support for escalated customer or business issues
  • Subject matter expert for identifying and resolving customer related issues and concerns
  • Partners in the Underwriting file audit process with Manager
  • Identifying and implementing opportunities for efficiencies
  • Assist Manager to prepare and/or facilitate monthly/quarterly team and operational meetings
  • Work with the department to keep procedures current as work processes change and evolve

 

QUALIFICATIONS

  • 3-5 years progressive underwriting experience
  • Excellent written and verbal communications skills in English and French required
  • Ability to motivate and manage staff and drive teamwork towards a common objective.
  • Education/knowledge specific to medical terminology and risk assessment.
  • Ability to work independently and manage multiple priorities in a fast paced environment
  • Willingness to embrace change and implement new approaches and ideas.
  • A well-defined sense of diplomacy, conflict resolution, and people management skills.
  • Strong on execution including project management fundamentals
  • Communications – clear, thorough, timely
  • Experience speaking in front of groups.
  • Sound morals, ethic and confidentiality with ability to develop trusting and effective working relationships with peers and employees.
  • Technically savvy and efficient with Microsoft Office and operating systems

Please forward resume to info@commarecruitment.ca

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  

Next Page »