Accident Benefits, Senior Claims Consultant $90,000 + Bonus

Accident Benefits, Senior Claims Consultant

Comma Recruitment are looking for an experienced Senior AB adjuster, preferably with experience at a manager and/or examiner level.

Supporting the department with advice and expertise to management, quality assurance activities and working with training departments to enhance the claims professionals, monitor and develop training and manage other special projects

Provide Accident Benefits expertise to assist the Claims department in improving company guidelines and programs to effectively manage loss costs and expenses and for consistent application of claims settlement policies and procedures.

Work on special projects to examine the Claims function and develop ways to improve both processes and personnel to better serve customers, solve systemic problems and meet company goals.

Monitor service levels and effectiveness of Claims personnel, audit files, reporting results to management team and using results toward efforts to improve Claims functions.

Monitor, develop and deliver technical claims training programs by assessing needs, developing content and making recommendations.

Provides consultation on large and complex claims, including technical guidance and advice to staff, assessment of exposure, facilitation of Alternative Dispute Resolution and/or attendance at arbitration hearings as required. Assists with the interpretation of case law.

Comma Recruitment are looking for 10 years claims experience, preferably with Accident Benefits

University degree or equivalent work experience

CIP Designation preferred

Technical expertise in claims management with particular emphasis on AB claims, and extensive experience in coverage analysis, investigation, and quantum evaluation.

Experience and or knowledge of Alternate Dispute Resolution, mediations, arbitrations and settlements

Please forward resume to [email protected]