Senior Property Claims Adjuster- Mississauga

Senior Property Claims Adjuster

Comma Recruitment are looking for a talented intermediate / senior property claims adjuster, must have experience with both personal and commercial lines along with experience handling large and complex claims.

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
•  Actively participate in the Major Loss Committee Process

Required Experience and Qualifications:

• 5-10 years’ experience adjusting personal and commercial lines property losses.
• 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.
•  Computer literacy with working knowledge of Microsoft Office products
• College/University degree or equivalent, and working towards CIP designation.

Please forward resume to [email protected]

Bilingual Claims Admin Coordinator $45+ ( Toronto)

Bilingual Claims Administration Coordinator

Comma Recruitment are looking for an individual to join the National Claims Team of our Investigative Services Department.  The focus of this role is detecting suspicious claims that require further investigation.

This is an office-based position.  You will:

• Use our Fraud Detection Software to identify suspicious claims
• Perform preliminary investigations, refer claims of concern to regions for further investigation
• Liaise with a Special Investigation Units to support their investigators
• Develop understanding of Investigative Services’ key metrics and log data in our metrics-tracking software

 

We are looking for a Bilingual (French and English) Admin professional with claims /Insurance experience:

• Excellent written and verbal communication skills
• Strong natural curiosity and propensity for investigating
• University degree / College diploma
• French Language fluency preferred
• Chartered Insurance Professional (CIP) designation an asset
• 1-3 year of Claims adjusting experience an asset

Please forward resume to [email protected]

Bilingual Health Underwriter

Bilingual Health Underwriter

• Review, evaluate and assess all individual Disability applications for accuracy and completeness and accepts or declines the risk based upon analysis of medical history, occupational hazards, financial background, insurable interest or other information pertinent to the decision.
• Exercises sound and reasoned medical and financial underwriting judgments based on various underwriting requirements and case documentation.
• Communication with applicants/agents when information is missing or in error on the application.
• Communicates case decisions to applicants in a timely and customer-friendly manner.
• Submits recommendations for cases in excess of approval limits or for consultation to Medical Director or Manager.
• Orders requirements (Paramedical, laboratory, ECG, Vitals) as per Underwriting guidelines or due to medical history.

QUALIFICATIONS REQUIRED

• College graduate and minimum two years of relevant work experience.
• Solid knowledge of underwriting risk assessment, policies and procedures, medical terminology, human biology and anatomy
• Excellent written and verbal communication skills (communicate clearly and concisely by telephone and email) in English and French (Bilingual required).
• Strong organizational skills and attention to detail to follow business processes correctly, anticipating and understanding the downstream impact and ensuring high quality the first time/every time.
• Effective team player.
• Demonstrates professionalism by consistently acting with respect and courtesy to co-workers and customers, maintains personal credibility, and exhibits excellent teamwork
• Proficiency in Microsoft Office, including Word, Excel and Outlook.
• Able to prioritize and work well under pressure.

Please forward resume to [email protected]

Bilingual Administration Coordinator $40 – $45k GTA East

Bilingual Administration Coordinator

Comma Recruitment are looking for an Administration professional with Insurance Industry experience:

• Manage volumes of underwriting requirements to be ordered and coordinates and performs all functions related to ordering, downloading, distributing and filing underwriting requirements for all lines of business.
• Monitor work baskets and delegate the distribution of work to the Application Administrators to ensure all administrative activities and tasks are handled timely to adhere to department standards.
• Investigates and solves third party vendor issues as related to underwriting requirements.
• Monitor department’s general underwriting inbox and delegates files to Administrators for handling.
• Coordinates new product setup including form number creation, testing, coding in AS400 for policy fulfillment package.
• Generates status reports to Assistant Manager as required.
• Communicates and liaise with paramedical vendors, Sales Administration team, and field Agents directly to ensure contact with policy holders on orders that are deemed exception cases.
• Performs other related duties as assigned or required by management.

 

QUALIFICATIONS REQUIRED

• College graduate from a Business Administration or related certificate program.
• Minimum two (2) years relevant experience, insurance experience preferred.
• Excellent written and verbal communication skills (communicates clearly and concisely by telephone and email) in fluent English and French (Bilingual required).
• Strong organizational skills and attention to detail to follow business processes correctly, anticipating and understanding the downstream impact and ensuring high quality the first time/every time.
• Effective team player.
• Demonstrates professionalism by consistently acting with respect and courtesy to co-workers and customers, maintains personal credibility, and exhibits excellent teamwork.
• Proficiency in Microsoft Office, including Word, Excel (macro writing experience an asset), Outlook and Adobe Professional (ability to create fillable PDF forms).
• Able to make decisions with limited supervision.
• Able to prioritize and work well under pressure.

Please forward resume to [email protected]

Bilingual – Senior Claims Adjuster

BILINGUAL-  SENIOR CLAIMS ADJUSTER

Comma Recruitment are looking for a Senior, Bilingual Claims Adjuster:

• Adjudicate contested and complex accident, life, critical illness, cancer and sickness disability claims.
• Adjudicate suspicious and fraudulent claims and refer files for special investigation if required
• Approve, deny or enquire further information from claimants, doctors or hospital to assess claimant’s eligibility for benefits.
• Interpret and administer policy provisions including, but not limited to eligibility, definition of total disability, and pre-existing investigations.
• Review and make decisions for policy rescission, after discussion with underwriting.
• Request independent investigation on claimants such as activities check/IME/peer-to-peer assessment.
• Consult with other departments (Legal, Medical Consultant, Underwriting, etc) as required and conduct investigations.
• Discuss and explain benefit payments to claimants. Document claim file actions and telephone conversations appropriately. Follow up on claims and send timely follow-up reminders.
• Review and approve adjusters’ files over their approval limits.
• Provide ongoing training and coaching to adjusters and new hires.
• Handle complaints – log, review, communicate with all parties involved, and provides response to complainants and/or Department of Insurance or other consumers agencies in accordance with Company compliance.
• Required to meet or exceed departmental service, quality and production objectives.

QUALIFICATIONS REQUIRED

• Minimum high school education or college diploma
• Minimum 5 years of claims adjudication experience
• Bilingual – English and French written and verbal communication skills
• Mathematical skills – aptitude for figures
• Insurance courses such as LOMA and HIAA
• Ability to make good decisions and use sound judgment
• Strong knowledge of medical terminology

Please forward resume to [email protected]

Underwriter – Property and Casualty. Toronto & Mississauga

 Underwriter – Property and Casualty

The Property and Casualty Underwriter will be responsible for meeting or exceeding the commercial insurance growth and profit goals for assigned brokers.  Comma Recruitment are looking for a very talented intermediate / senior underwriter with experience in P&C, any experience in MGA or Brokerage an asset.

• Work as a team to manage your assigned brokers and ensure that excellent broker relationships are maintained.
• Work as a team with the Sr. Production Underwriter and manage your assigned brokers to underwrite and service the renewal portfolio, endorsements, cancellations, certificates etc. to ensure they are completed within service standards in accordance with company guidelines and within assigned authority.
• Assist with new business inputting, rating, issuing and documentation to ensure the correct procedures are followed and service standards are met.
• Develop and maintain strong broker relationships and market our insurance products and services.
• Analyze and evaluate results for your portfolio and use individual or collaborative judgment to ensure that profit and growth goals are met.
• Communicate results, outstanding issues, opportunities to Director of Commercial Insurance.
• Record underwriting information for the purpose of evaluation, assessment, audit and profitability.
• Assist with training and coaching of other staff as required.
• Additional duties as assigned by the Director of Commercial Insurance.

Required Experience, Qualifications, and Expectations:

4+ years of experience in commercial Property/Casualty underwriting, experience with MGA’s a real asset, CIP designation, strong knowledge of Microsoft Word and Excel.

• Strong property and casualty product knowledge, and the ability to make sound underwriting decisions for mid-market and larger complicated accounts.
• Possess excellent oral and written communication skills and superb time management and organizational skills.
• Ability to work well independently as well as part of a team
• Accountability, customer-centric thinking, teamwork and a commitment to excellence.
• Possess strong team building, coaching and leadership skills

 

Please forward resume to [email protected]

Special Risks Underwriter – Personal Accident

Special Risks Underwriter – Personal Accident  AD&D

Comma Recruitment are looking for a Special Risk Underwriter, the purpose of this position is to provide underwriting for specialized markets including Personal Accident, AD & D, risk classification and compliance to established standards.

Experience with Lloyds markets or MGA experience is a great asset.

Underwriters are responsible for evaluating & selecting profitable new risks, based on our underwriting appetite and principles, while developing and maintaining value-driven relationships with brokers.  Experience growing a book of business and technical underwriting knowledge is required.

This is a full time role with excellent vacation, benefits and salary package

Qualifications:

• A minimum of 2 years underwriting experience, MGA /Brokerage experience a great asset
• Experience with Lloyds markets or special risks preferred – AD&D , Personal Accident
• College or university degree or equivalent work experience
• Excellent written and verbal communication skills
• Working towards, or have attained, the CIP designation
• Ability to collaborate with peers and subordinates as well as the ability to work well independently

Please forward resume to [email protected]

Loss Prevention Consultant

LOSS PREVENTION CONSULTANT  – $60,000 – $70,000

Comma Recruitment are looking for a Loss Prevention Consultant , responsible for providing expertise to both existing and prospective clients, responsible for GTA East, from Toronto East to Kingston.

RESPONSIBILITIES

Analysis of Risk Exposure

• Identifies hazards and exposures relative to property, casualty, automobile and pollution insurance provided.
• Identifies additional hazards and exposures in the business for which insurance coverage is not provided to assist the business owner in managing his/her operation.
• Considers controls in place to assess their effectiveness and whether they are adequate.
• Collects information regarding the operations of the business through effective questioning  and interview techniques.
• Collects accurate measurements and calculations in order to prepare an estimate of building values including application of depreciation/obsolescence principles.
• Presents our Insurance Loss Prevention documentation and programs in order to assist the client on an on-going basis
• Discusses recommendations for improvement with client as part of the site visit.

 

Administrative

• Fully documents collected client information utilizing established formats and templates.
• Writes recommendations as part of the report so that others can accurately and formally communicate those to all stakeholders.
• Documents work and expenses by submitting reports with no more than a 2 -week delay.

 

Training

• When requested, assists with classroom and field training of others.
• Follows the established Loss Prevention Training Program. This includes a combination of instruction based on the Training Manual and their own practical knowledge.
• Provides a detailed explanation on how to complete all relevant forms and reports.
• Accompanies other employees on account visits that involve complex loss prevention issues.

Professional Development

• Monitors industry and marketing trends within the general marketplace and communicates these to the Director.
• Develops relationships with industry peers and related associations to keep abreast of industry changes and client needs.
• Attends seminars to improve overall knowledge of insurance products.

Involvement in the general sales cycle

• Accompanies Risk Coordinators on client trips on an as needed basis to review risks.
• Supports sales presentations when requested by the Risk Services Coordinator.

 

QUALIFICATIONS

• Post-Secondary education in engineering, building technology, or insurance courses such as CRM or CIP.
• Minimum 3-5 years’ experience as a Loss Prevention Trainee or equivalent work experience in the P&C industry.
• Valid Driver’s License and acceptable driving record.

Please forward resume to [email protected]

Personal Lines CSR – $45,000

Mandarin / Chinese Personal Lines CSR –  GTA East – Full Time

Duties and Responsibilities:

Comma Recruitment are looking for a RIBO Licensed Client Service  Representative to handle in-bound calls, requests for policy changes and billing questions.

Looking for confident CSR’s to provide exemplary customer service to clients within our Service Department who have home and auto policies with us.

 

Must be perfectly fluent in English, Mandarin and/ or Cantonese.

• 2-5 years experience in a similar insurance sales or service role
• Handle in-bound phone calls, requests for policy changes and billing question
• Able to make outbound calls to existing clients for renewals
• RIBO licensed
• Excellent computer and communication skills

 

Great salary from $40,000 – $45,000 depending upon experience

Full training, full time role with benefits and vacation.

Please forward resume to [email protected]

Senior Claims Manager – Ottawa

Senior Claims Manager

Comma Recruitment are looking for an experienced claims manager to manager multiple teams / units throughout the Ottawa Region.

Responsible for the direction and management of  the Accident Benefits Claims Teams within the Ottawa Region, oversee day-to-day operations providing for efficient and effective work processes, quality customer service, and continuous improvement meeting all company standards, procedures and goals.

Authorizes major settlements within authority level or escalates those cases with higher financial requirements or special circumstances.

Works with the Director of AB in providing for the overall direction and management of the customer service and claims settlement.

• Manages the day-to-day operation of the AB Unit(s) of the claims department to achieve essential business goals and meet customer service expectations.
• Manages and monitors activities of clerical support staff unit(s).
• Reports on progress up against specific goals and objectives, providing Monthly/Quarterly results. Ensures effective implementation of and compliance with all company policies and procedures.
• Manages relationships with key vendors within area(s) of expertise, ensuring that corporate policies and procedures as well as customer service and productivity standards

 

Assists Directors to develop policies, strategies, budgets and long- and short-term plans to facilitate ongoing work, process improvement, customer relations and other functions.

 

Acts as claims authority within area(s) of expertise and provides direction on such issues as policy interpretation, legal and technical issues or concerning large losses. Settles large or complex claims within own authority or escalates issues as necessary.

Manages budget and material resources within own group to provide exceptional customer service and while meeting all of the financial and productivity goals. Develops, recommends, and implements strategies for loss cost containment and increased Salvage and Subrogation returns to improve the Region’s loss ratios.

 

Responsible for managing the employees within own group including hiring and terminations, coaching and mentoring subordinates, performance management, continuous learning and career development for all staff.

 

Minimum of 10 years Claims experience which includes automobile,  AB and casualty adjusting and 2 years in a management function.

Excellent communication and interpersonal skills with all levels of staff.

Proficiency in a variety of PC software including Microsoft Word.

Experience in coaching and developing staff.

Proven leadership skills, excellent communication skills

CIP(Chartered Insurance Professional), FCIP or Degree a preference

Bilingualism (English & French) is a preference

 

Please forward resume to [email protected]

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