Senior Bodily Injury Examiner

Comma Recruitment are looking for a Senior Bodily Injury Examiner, responsible for the investigation, quantification, analysis, adjustment and settlement of complex property and casualty claims in excess of $250k

This role will focus on quality and customer service, by assessing and assigning the appropriate expert and vendor to each claim. The adjustment will be conducted in an efficient and effective manner to control the indemnity, spend and expenses without compromising the delivery of superior customer service. This includes establishing prompt relationships with insured members, detailed investigation of coverage, liability, and quantum, ensuring fiduciary and contractual compliance, and adhering to organization service standards, operational targets, and core competencies.

1. Delivers a superior customer experience by responding to all general inquires, initiating and maintain contact with insured members, and assisting with commodity claims overflow.
2. Responsible for confirming coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, investigation of questionable claims, studying case law for liability and benefit determination, completing contractual coverage analysis, and assessing quantum, reviewing subrogation opportunities, negotiating, and resolving severity casualty matters.
3. Maintains quality service and adheres to organizational standards while dealing with all aspects of file handling including reserving, expense and loss control, liability assessments, and creating defined disposition plans for future handling leading to file closure.
4. Controls and directs work performed by outside experts, medical practitioners, lawyers, and service providers to completion.
5. Represents stakeholders in a professional manner at meetings, court hearings, mediations, and other information gatherings forums with a view of resolution and/or settlement when appropriate.
6. Maintains confidentiality of claims information at all times to protect operations and insured members.
7. Responsible for data integrity, issuance of payments to vendors, insureds, and experts and for maintaining well-organized claim files while ensuring accuracy of data input.
8. Adheres to partner’s guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
9. Actively participates in coaching and training sessions and collaborates with team members and management.
10. Takes an active role in creating an environment of continuous improvement of work efficiencies and highlighting value work.

Performs other duties within competence, as assigned.

Comma Recruitment are looking for:

1. CIP designation.
2. Ability to hold an adjuster’s license.
3. Thorough knowledge of the property and casualty industry
4. 5+ years of experience in casualty claims handling including litigation file management; experience in handling losses more than $250,000 Residential construction experience an asset.
5. Knowledge of medical rehabilitation concepts and medical
6. Case law knowledge
7. Superior investigation and negotiations skills
8. Excellent communication skills verbal and written to effectively work with internal and external stakeholders.
9. Superior organizational skills to manage competing priorities, including project management skills.
10. Ability to learn and adapt in a fast-paced environment including working with various computer programs, databases, and software.
11. Ability to work independently and as part of collaborative team environment.

Working Conditions:

1. Hybrid Working Environment with consideration to hours of operations.
2. May be required to work overtime / May be required to travel.

Please forward resume to [email protected]

Project Manager, Restoration

Comma Recruitment is looking for a talented and experienced Project Manager for a leading
GTA restoration firm.

Responsibilities:
• Coordinate and manage projects from initiation to completion, ensuring adherence to
project timelines and deliverables
• Prepare reports, analysis and design, plans, details and specifications for additions,
modifications and renovations to Residential, Commercial and Industrial buildings
• Develop and maintain project plans, including task assignments, timelines, and resource
allocation
• Prepare project schedules and maintain timeline of the projects
• Monitor project progress and identify potential risks or issues, implementing mitigation
strategies as needed
• Conduct regular project status meetings and prepare reports – Assist in the development
of project documentation, such as project charters, requirements documents, and
status reports
• Collect and analyze data to measure project performance and identify areas for
improvement.

Comma Recruitment is looking for 3 + year work experience as a project manager or
similar with proven experience as a Project Manager

Knowledge of Building Restoration is must.
Experience with Primavera or other project management software is preferred but not
essential as training will be given on various software
Strong organizational skills with the ability to prioritize tasks and manage multiple
projects simultaneously
Excellent communication and interpersonal skills to effectively collaborate with team
members
Detail-oriented mindset with a focus on accuracy and quality of work
Please forward resume to [email protected]

Licensed Personal Lines Broker, Nova Scotia

Job Description

Reporting to the Team Lead – Sales & Service, you’ll be responsible for ongoing communication with clients, providing individual, professional and practical insurance advice whether by phone, email or written correspondence.

The core parts of your role will be to:

• Processing policy and client changes in timely manner, explain coverages
• Reviewing insurance policies and all related documentation for correctness and accuracy
• Selling additional policies to existing and or new clients.
• Continuing with training and educational requirements

Qualifications

This is the unique blend of skills and experience we would love to see in an ideal candidate:

• Personal insurance industry experience is a must, a minimum of 1 year ‘s experience in the insurance industry
• Must have a Nova Scotia General Insurance License
• Insurance related education and or professional designations are considered important assets.
• Fluency in French is considered an asset
• Experience with Power Broker Management System would be helpful.

We also consider your potential. If you know you have what it takes to do the job, but your experience doesn’t exactly match the qualifications above, we encourage you to apply and provide us with more details about why you think you would be a great fit.

Additional Information

We offer best-in-class pension and benefits; total reward programs and comprehensive mental wellness supports to set you up for every success in and outside of work. Here are just some of the reasons you’ll love working here:

• Rewarding salary and bonuses that truly value your dedication
• Industry-leading group benefits with 100% premium coverage (excluding LTD) that start on your first day
• Defined benefit pension plan for a financially confident retirement
• 100% coverage of approved continuing education and licensing fees (including RIBO courses in Ontario)
• Unlock your potential with opportunities for advancement
• Work from home / hybrid flexibility

Please forward resume to [email protected]

 

Intake Coordinator – IME

Comma Recruitment are looking for an Intake Coordinator, primarily responsible for receiving referrals
directly from customers across all business segments, auto-insurance, life and health insurance, medical
legal and employer.

The Intake Coordinator must input customer and evaluee information into our operating system, assign
the case to an appropriate medical assessor, coordinate and schedule the appointment, and manage the
customer. The role also involves coordinating any needed referral review or clinical review services, as
well as communicating directly with both customers and assessors.

The duties of the Intake Coordinator must be provided within set timelines. The role involves a variety of
supportive and administrative activities in a fast-paced, time-sensitive medical assessment environment.
The job entails knowledge of our assessor panel, knowledge of different types of medical disciplines, the
ability to remain organized with schedules, and the ability to coordinate appointments, which may
include ancillary service arrangements or bookings, to best meet the needs of the customer and
evaluee.
The role also involves a quality assurance element in that the successful applicant must review the
referral details to ensure there are no blatant errors in the type of assessor being requested or the types
of questions being submitted. The Intake Coordinator will scrutinize key elements of the referral
information prior to proceeding with scheduling of appointments. Please note that duties and
responsibilities are subject to change based on day-to-day business needs and operational changes in
workflow.
• Relevant experience in an Intake Coordination role is required
• Experience with the SABS, Motor Vehicle Accident Claims, Personal Injury cases
• Strong communication skills, both written and verbal.
• Demonstrated ability to promote a positive team-oriented environment
• Demonstrated ability to work well under pressure
• Extensive knowledge of medical terminology and medical disciplines
• Strong problem solving, decision making, critical thinking, and multitasking skills.
• Strong computer skills – typing, Microsoft Word, Excel, application aptitude; experience with
Smart Simple and/or eClaims Workflow would be an asset
• Demonstrated ability to type a minimum of 35 W.P.M.
• Must possess strong tendencies for accuracy and attention to detail
• Demonstrated ability to work independently, prioritize work activities and manage time
efficiently
• Solid working knowledge of PIPEDA/PHIPA and best practices

Essential Duties and Responsibilities include:
Receive, review and enter new referrals for Independent Medical exams, Book, confirm, cancel, make all
appointment arrangements for Independent Exams in accordance with Service Level Agreements
Communicate with assessors, clients, and examinees regarding appointment scheduling, appointment
changes, and receipt of medical records and/or images
Create and process confirmation letters of scheduled appointments, prompt response to incoming calls,
e-mails and faxes from assessors or clients
Communicate clearly with clients, assessors, and examinees
Book ancillary services (interpreters, chaperones, transportation)
Perform miscellaneous job-related duties as assigned
We offer a wonderful working environment, a full time salaried role with training and ongoing
mentoring, opportunity to work with industry experts and opportunities for growth and professional
development.

Please forward resume to [email protected]

P&C Underwriter– Special Risk, MGA

The Special Risks Underwriter is responsible for the evaluation and servicing of unique accounts within the Property and Casualty segment of Specialty Risk

RESPONSIBILITIES:

Responsible for the successful management and pricing of designated portfolio of Property and Casualty accounts.

• Maintain the long term profitability of a P&C portfolio. Grow and develop new P&C business
• Execute risk selection decisions within the assigned authority and in accordance to corporate guidelines for correct pricing techniques.
• Refer and redirect requests for risk selection for unique or unusual risks beyond personal authority, along with recommendations.
• Develop contract wording for new product proposals and business plans.
• Review and manage existing contracts to ensure products and service are delivered in the most effective manner to achieve profit and growth objectives
• Collaborate with and support other areas of the Specialty Risk team in the development of new business, products and pricing strategies to achieve profitable growth.
• Understand and apply best business practices towards compliance, internal control and operational risk controls in accordance to national standards and regulatory standards and policies.
• Develop and maintain a knowledge and understanding of company operations and procedures, including demographic, economic, and social characteristics to increase market share.
• Participate in the development of new business, renewals and contribute to corporate objectives and assist in the presentation of proposals as required.
• Work collaboratively with Supervisors and/or Managers on special projects and assignments requiring advanced technical skills and knowledge when required.

  QUALIFICATIONS & SKILLS

• Proficient in creating and understanding contract wordings; proficiency in the use of Microsoft Word.
• 2 + years of commercial underwriting with experience in special risks or the hard to place market
• MGA Underwriting or MGA Business Development experience is preferred
• Accurate and detail oriented.
• Commitment to high standards of performance and goals.
• Strong verbal and written communication skills.
• Demonstrated presentation skills.
• Ability to foster and build good working relationships with brokers, customers and business areas inside and outside the work unit
• Ability to influence decisions and gain agreement and/or support on sensitive issues
• Strong analytical and decision-making skills.
• Existing relationships within the industry are valued.
• Broad knowledge and understanding of underwriting discipline.
• Ability to work within and adapt to PC oriented environments, including familiarity with e-mail and Internet skills. Advanced knowledge of Microsoft Office.
• Completion of the CIP/FCIP designation an asset.

  Please forward resume to [email protected]

 

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