Claims Trainer – Accident and Benefits

The role involves Ontario Accident Benefits course development and training. This is a highly technical position.

 

•You will work with the Director, National Claims School to identify professional development needs

•Design, develop and deliver new and existing in-house educational courses and materials

•Deliver Training and Workshops on claims related topics.

•Improve/modify existing courses based on instructor and student feedback

•Develop new modules for existing courses

•Test and design student labs/exercises as necessary

•Produce or work with graphics used as visual aids within courses

 

As the successful candidate, you possess a minimum of five years experience in Ontario Accident Benefits claims adjusting.

 

What you bring to this role:

 

•Proficient in the language of instruction with experience in preparing good quality documents

•A minimum of 5 years full time practical training and course design/development or related experience

•Excellent written and oral communication skills

•Strong presentation and facilitation skills

•Knowledge of training in claims personal lines

•Organized and self-motivated with the ability to work independently

•Highly energetic with a strong work ethic

•Working knowledge of current and emerging training tools and learning aids

Bodily Injury Claims Adjuster – Intermediate and Senior

Two positions are open for talented Bodily Injury adjusters, Intermediate which requires 1-3 years of adjusting experience and a Senior role that requires handling of moderate to complex claims.

The adjusters will be responsible for direct file handling and communication with all involved parties.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

 Confirm valid coverage and  investigate liability.

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 worksheet, case law, medical and liability information.

Report any serious injuries to Manager.

Mentor and coach junior adjusters.

Prepare Major Loss/Reinsurance Reports and participate in Claims Committee process.

Comply with service standards as outlined in the claims manual.

Actively participate in settlement initiatives along with both private and mandatory mediations.

 

REQUIRED EXPERIENCE AND QUALIFICATIONS

 

Minimum 1-3 years and 3+ years adjusting Bodily Injury claims. A background as a claims adjuster is an asset in addition to BI experience.

Knowledge of regulatory and contractual obligations, medical terminology, vocational rehabilitation concepts and dispute resolution practice code.

Detail oriented and well organized individual.

Strong oral and written communication skills.

Superb interpersonal skills and leadership qualities/potential.

Work well individually or as a part of a team.

Computer literacy with High School Diploma or equivalent and University or College Degree; have or working towards CIP designation.

Please forward resume to [email protected]   or cut and paste your resume on our “contact us’ page

AB Claims Manager GTA

Excellent opportunity for an Accident Benefit Supervisor

Supervises adjusters, monitors quality, and assists with administrative tasks, strategy implementation and mentoring.

Ensure timely file disposition, reserve adequacy and maintain quality of file handling.

To provide coaching and appropriate instructions to accident benefits file handlers.

Lead, manage and develop staff to maximize full performance potential.

Establish and monitor performance targets to meet department goals and objectives.

Prepare performance reviews.

Respond to customer service complaints.

Assist  with preparation and analysis of management reports.

Other duties as assigned.

Job Skill Requirements:

   5+ years progressive claims experience

  Able to supervise and mentor

  CIP designation or working towards

 Proven technical ability and reporting capabilities

 Excellent communication and computer skills

 Proven leadership ability with excellent oral and written communication skills.

 Excellent coaching and mentoring skills.

 High level organizational and time management skills.

 Must be a team player with a strong commitment to quality and customer service

 Must be willing to work in a dynamic environment with opportunity for career growth

 Solid understanding of technical components of accident benefits claims handling including a solid knowledge of SABS. (Statutory Accident Benefits Schedule)

Please forward resume to [email protected]   or post resume through our ‘contact us’ section

Ontario Region Special Investigator – Option to work from home – AB or BI background

Ontario Special Investigator –  Mississauga (possibility of work from home)

New position joining a new SIU team

 

What you will achieve in this role:

 

• Assist the National Claims Investigator with the implementation of the anti-fraud Strategy.

• Assist with the development and implementation of fraud best practices.

• Identifying and securing third party advisors or suppliers to provide evidence required to support fraud case recommendations.

• Position will oversee outsourced field investigations on either a limited or primary responsibility basis.

• Co-ordinate, oversee and track assigned work with external claims investigator vendors.

• Delivering recommendations to claims handling colleagues and/or underwriting in line with established standards, procedures and guidance provided.

• Report investigation findings with recommendations for approval, denial and future claim handling.

• Prepare investigative reports for Claims, business units, and/or outside agencies.

• Assist the National Claims Investigator with responses to internal/external requests for information.

• Managing customer interactions in an efficient, courteous and timely manner to deliver high standards of customer satisfaction.

• Pursue police charges for prosecution, prepare Crown Briefs and provide evidence where applicable.

• Providing expert advice, guidance and coaching to technical colleagues to develop knowledge and understanding of customers, and customers’ businesses and associated commercial drivers and risks.

• Keep abreast of case law, legal tactics, fraud trends or other information that may help limit losses or improve the effectiveness of the detection system.

• Assist in the training of claims personnel to recognize and react to the various types of insurance fraud and arson.

• Assist in the training of underwriting personnel in defensive underwriting techniques.

 

What you bring to this role:

 

• Post secondary degree or diploma

• Extensive knowledge and experience of the investigative process, including the proper identification and collection of evidence, interviewing techniques, report analysis and other techniques

• Experience in working in investigations, collection of evidence and fraudulent claims

• Experience in working directly with customers

• Depth and breadth of experience within the P&C insurance industry

• Previous Insurance SIU experience with an AB, BI or Casualty, Auto PD background

• Strong analytical, relationship management and decision making skills

• Strong working knowledge of Ontario Auto Policy and Regulations

• Comprehensive knowledge of criminal and civil procedures

• Good knowledge in Microsoft Office products

• Strong verbal and written communication skills

• Track record of delivering results

 

Senior Property Adjuster – Complex, with knowledge of Boiler/Machinery $80k- $100k

Property Claims with Boiler & Machinery,  Assistance with the examination of Aviation, Casualty and Marine claims as required.

 

Specific Duties:

 

• Contributing to day to day claims operations through effective adherence to pre-established claims processes while ensuring quality of service.
• Examination and scrutiny of Property claims in both lead and non-lead circumstances.
• Liaison/meeting with loss adjusters, underwriters, carriers, brokers and counsel on status of claim files.
• Processing of invoicing, indemnity payments, wire transfers and maintenance of accounting records.
• Ensuring all information entered into the proprietary claims system is kept up to date and accurate with prompt processing of loss notifications.
• Producing accurate data for the Monthly Claims Report/Underwriting meeting.
• Maintenance of accurate records, scanning documents to the proprietary claims system.
• Preparation of presentations and relevant correspondence as required.
• Claims data entry, file set-up and assignment of claims adjusters.
• Cross training with other team members.
• Ad hoc research and project work as assigned.

Qualifications and Requirements:

Education:                                                                

• Post-secondary education

 

Required Experience:

• 10+ years experience in the area of technical Property claims examination.
• Some background experience and/or knowledge of Aviation, Casualty and Marine Insurance and claims will be an asset.

 

Skills and Abilities:

• Strong interpersonal, operational and administrative skills enabling constructive reaction to urgent requirements and complex problems.
• Excellent judgment and decision making skills.
• Strong analytical, problem solving and creativity skills.
• Team player with ability to engage others.
• Superb time management and organizational skills.
• Strong PC skills across platforms and applications (i.e. Windows, Excel, Word, PowerPoint)

Auto Adjusters to be trained as AB Adjusters

Markham – $45/$50k, 6 weeks in class full training and ongoing mentoring and support.

As a Claim Advisor, AB, you will investigate, assess and settle injury claims by telephone, in person and/or written correspondence. You will also be accountable for:

• Investigation and settlement of injury claims (first party)
• Interpreting insurance policy wordings, determine policy coverage’s and reserves
• Ensure prompt and equitable settlement of claims
• Ensure superior customer service experience for policyholders
• Advise distribution partner on possible coverage opportunities

Qualifications:

• Minimum high school education or equivalent
• Minimum 1 years experience as a Claim Advisor Auto PD or other claim adjusting experience
• Enrolled in, or completion of, CIP designation
• Commitment to providing outstanding customer service
• Proficient keyboard skills and computer literacy
• Excellent verbal and written communication skills
• Ability to work in a fast paced environment 
• Ability to collaborate to reach goals
• Highly motivated and able to work well independently

AB Supervisor – GTA East

AB Supervisor / Manager: Flexible Salary $80- $90k Depending upon experience

 Job Responsibilities:

Ensure timely file disposition, reserve adequacy and maintain quality of file handling.
To provide coaching and appropriate instructions to accident benefits file handlers.
Lead, manage and develop staff to maximize full performance potential.
Establish and monitor performance targets to meet department goals and objectives.
Prepare performance reviews. 
Respond to customer service complaints.
Assist Adjusters with complex/large claims, Train and mentor, Junior, Intermediate and Senior AB Adjusters 
Other duties as assigned.

Experience/Skills required:

7-10 years progressive AB claims experience.
Proven leadership ability with excellent oral and written communication skills. (1+ years Management or Supervisory experience preferred)
Excellent coaching and mentoring skills.
High level organizational and time management skills.
Solid understanding of technical components of accident benefits claims handling.
Excellent analytical, problem solving and decision making abilities. Knowledge of General, Teleglobe systems.
Excellent computer skills and knowledge of the legal process.
Demonstrated mediation/negotiation experience.

 

Current Job Postings

Personal Lines Underwriter – Intermediate and Senior, $55 – $65k GTA East

3+ years experience Auto and Property, CIP or working towards.