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

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 [email protected]

Intake Analyst – IME

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 [email protected]