Senior BI / Liability Claims Adjuster – Mississauga $78 – $85k+

July 10, 2018 by  
Filed under Jobs

Comma Recruitment are looking for a talented BI/Liability Adjuster with experience handling large and complex CGL and BI claims.

This position is responsible for investigating, negotiating and settling serious CGL and bodily injury claims, the adjuster will be responsible for direct file handling and communication with all involved parties.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Confirm valid coverage.
  • Fully investigate liability.
  • Fully investigate serious injuries & exposure.
  • Must have CGL experience
  • Provide instruction and direction to external vendors i.e.: independent adjusters, legal counsel, engineers.
  • Calculate ultimate probable exposure and reserve accordingly.
  • Properly maintain a diary system to monitor files.
  • Ensure files are up to date with BI worksheet, case law, medical and liability information.
  • Mentor and coach junior adjusters.
  • Prepare Major Loss/Reinsurance Reports and participate in Claims Committee process.
  • Actively participate in settlement initiatives along with both private and mandatory mediations.

REQUIRED EXPERIENCE AND QUALIFICATIONS

  • 7 years of experience adjusting CGL & BI claims.
  • CGL experience must include a strong background in coverage (duty to defend vs. indemnify), municipality losses, construction wrap up, product liability, occupier’s liability, and environmental losses.
  • Knowledge of regulatory and contractual obligations, medical terminology, vocational rehabilitation concepts and dispute resolution practice.
  • Experience with internal and external audits.
  • Detail oriented and well organized individual.
  • Strong oral and written communication skills.
  • Travel to mediations/pre-trials/trials is required

Please forward resume to info@commarecruitment.ca

Intake Analyst – IME

July 5, 2018 by  
Filed under Jobs

Intake Analyst – Toronto West

Comma Recruitment are looking for an Intake Analyst with IME experience, superb admin skills and a medical background

Specific Responsibilities:

  • Respond to incoming communications from customers and input data into W5 patient data management system
  • Direct referrals to appropriate personnel
  • Onsite Weekly Client Liaison – provide support and information to adjusters and managers at client site about referrals, assessment requests, and reports
  • Review medical files and request missing information where applicable
  • Analyze referrals and submit requests where necessary for cost approvals, etc.
  • Input/maintain accuracy of information in W5 database (contact, patient, etc.)
  • Analyze medical files and select the appropriate medical assessors for the file; Disability, Med/Rehab, Independent Medial Examinations, Occupational Medicine etc.
  • Prepares, organizes and maintains file charts & file documents/cases in W5
  • Report compilation; analysis, corrections and send out with all database details completed
  • Documenting all communication between parties and ensuring it is clear, concise and comprehensive
  • Responsible for providing external and internal stakeholders with information about our services
  • Responds to requests from lawyers, insurance adjusters and employers for medical legal reports and correspondences
  • Provides a detailed account of workload on a monthly basis to manager
  • May be required to supervise and train support staff under the direction of the manager
  • Provides information as required to regional and corporate groups
  • Provides back up and support to other positions when required
  • Responsible for computer functions; including processing of patient accounts, back up and downloads

Please forward resume to info@commarecruitment.ca

Customer Service Contact Centre    Markham.

June 25, 2018 by  
Filed under Jobs

Full training, Full Time $42,000 + Benefits and 3 weeks vacation

Comma Recruitment are looking for talented communicators with call centre / service/sales experience to provide customer service to existing clients in an incoming call centre environment.

Full training provided including fully paid in-class education, OTL licensing full paid  and on-going on the job training. Working Mon – Friday 1pm – 9pm

Salaried position with base of $42,000 extensive benefits package and 3 weeks vacation.

Must be strong communicators with service and call centre experience.

Please forward resume to info@commarecruitment.ca

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

Next Page »