Disability Claims Adjuster

Disability Claims Case Manager / Adjuster

Comma Recruitment require a Disability Claims Adjudicator – Adjudicate and manage short and long term disability claims. Provide efficient and timely service to all key stakeholders.

Location: Toronto West and Mississauga

Main Accountabilities:

• Review claim forms, medical reports, investigation reports, contract provisions etc. and determine eligibility of claim
• Record inbound/outbound communication
• Provide written and verbal communication to claimants, clients, administrators, doctors, lawyers, other insurers, etc: re: claim inquiries and outcome
• Review claims with Medical Director and Legal Department as required
• Assess waiver of premium eligibility
• Develop and implement return to work strategies
• Interact and develop good relationship with several stakeholders to facilitate best results

Competencies:

• Min 2 – 5 years group claims experience
• Experience adjusting STD/LTD benefit claims
• Excellent written and verbal communication skills
• Bilingualism in French/English is an advantage though not required
• Excellent customer service
• Intermediate skills with Word and Excel
• Ability to multitask in a fast paced, performance driven environment
• Strong planning and organizing skills, with strong attention to detail
• Analytical thinker with proven problem solving skills
• Ability to adapt quickly and comfortably to change
• Good interpersonal skills
• Professional telephone etiquette
• Demonstrates a positive attitude and a desire to succeed
• Strong team player

Please forward resume to [email protected]

Director, Corporate Underwriting – Property

Director, Corporate Underwriting – Property         $100,000 – $120,000

The Director of Property in Corporate Underwriting will proactively look for ways to drive the profitable growth for property business.

The incumbent is responsible for the development of superior property products, technical underwriting guidance and working with Actuarial on sophisticated pricing tools.  In addition, the incumbent is responsible to manage the performance of the property lines of business as well as manage a team of strong technical underwriting experts.

Responsibilities:

Develop superior property products.

• Define the product strategy and roadmap in conjunction with other stakeholders in our Product Factory.
• Drive product strategies to improve line of business results aligned with organizational strategic imperatives.
• Evaluate and support prioritization of opportunities for product enhancements.
• Develop enhances and innovative insurance products supporting our customer centric strategy, and support marketing material development.

Create property underwriting frameworks, guidelines and policies to ensure profitable underwriting results across all regions.

• Drive underwriting strategies to improve line of business results aligned with organizational strategic imperatives.
• Develop underwriting guidelines that ensure consistent application of the framework, including systems enhancements.
• Working in collaboration with regional UW teams, ensure that frameworks are well understood and being applied consistently across all regions.

Collaboratively sets sophisticated property technical pricing guidelines with actuarial, aligned with profitability targets.

• Drive segmentation by identifying key rating variables and developing associated pricing factors.
• Ensure technical prices are calibrated with company’s profitability targets.
• Work closely with regions and actuarial pricing to ensure products are appropriately priced and the business is generating expected profitability targets.

 

Participate with others in the Corp Underwriting in the development of regional underwriting property skills.

• Participate in identification of development needs and training required.
• Develop and delivery of technical training aligned with underwriting training programs.
• Brief and train the regional management and distribution at selected intervals.

 

Evaluate property underwriting performance and develop strategies to improve profitable growth performance.

• Accountability to ensure that profitability targets are met by monitoring ongoing line of business and product profitability across all regions.
• Monitor portfolio performance through analysis of key performance indicators (growth, combined ratios, coaching scores, etc.)
• Drive the development of audit questions and reports to assure oversight of underwriting practices.
• Participate in audits and review audit results.
• Accountability for guiding the development and delivery of new strategies to ensure future profitability and to course correct, if required.

Drive quality and efficiency of Corporate Underwriting property resources.

• Plan departmental resourcing needs, plan for growth and ensure that attendance and vacation requests are managed for the team.
• Coach, mentor and direct staff.
• Evaluate staff performance in relation to standards and progress toward achieving individual and organizational objectives.

Other duties as assigned.

Qualifications

Post-secondary education or equivalent business experience.

Excellent depth of underwriting knowledge on specific product area (e.g. Property, Casualty, or Liability).

Completion of or working towards CIP/FCIP designation.

7+ years of progressively more senior UW experience.

3+ years of experience supervising staff.

Working knowledge of the MS Office suite of products (Word, Excel, Outlook), and the Internet.

Fluently bilingual (English / French) is a definite asset

 

Please forward resume to [email protected]