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

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