AB Claims Manager

Claims Manager – AB – Three Locations

Comma Recruitment  are looking for a self-motivated individual who has the ability to coach and mentor and work effectively with a diverse group to join our claims team, as an Accident Benefits Team Leader. The successful candidate will be required to ensure prompt and equitable settlement of claims, planning, organizing, directing, controlling the operation of AB Claims

You will be responsible for developing and communicating team mandate, giving positive and constructive feedback in a timely manner, developing strategic communication, and creating positive change. Additional responsibilities will include: identifying opportunities for training, both structured and informal, completion of file reviews, audits of service provider facilities and billing practices.

 

• Train and monitor the progress of all staff

• Schedule one-on-one feedback / additional coaching and mentoring

• Communicate key corporate goals and monitor results

• Deliver performance management

• Participate and / or lead vendor audits and ensure completion

• Produce audit reports and provide feedback to preferred vendors

• Ensure action plans are in place when circumstances dictate

• Completion of monthly open & closed file reviews

• Provide functional leader with monthly progress reports and updates

 

The Ideal candidate will have competed or working towards CIP/FCIP designation. You will bring a minimum of 2 years leadership experience and 3- 5 years AB caim file experience

Extensive working knowledge of insurance legal environment

• Experience working with defence counsel

• Working knowledge of the Claims Guidelines and Best Practices

• Excellent presentation and negotiating skills

• Superior time management and organizational skills

• Excellent interpersonal skills with proven ability to build solid relationships

• Exceptional customer service skills

• Analytical

• Strong written and verbal communication skills

• Advanced computer skills (MS Office suite)

• Min. 5 years claims experience

• Completion of CIP/FCIP

• A minimum of two years of Leadership experience

 

Please forward resume to [email protected]

Disability Claims Case Manager – Mississauga

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 asset 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]

Broker Manager – Ottawa

Broker Manager– Personal Lines Sales Brokers – Ottawa

 

Comma Recruitment require a talented and experienced Team Leader to manage and mentor a sales and service team.

Leading, coaching and mentoring sales staff, managing administration team and creating a thriving sales culture.

Ideally from a brokerage background with experience in management, sales, leading a team or managing a sales project.

Must have a strong sales background in Insurance related products and ability to manage a team independently as direct report will be in Toronto

A strong communicator, excellent IT skills with experience with TAM a benefit.

Working with a national broker, base salary of $60,000 plus bonuses and commissions on sales and staff sales, excellent opportunity for development, a full time role with benefits and vacation package, expected on target earnings of $80,000 – $100,000

 

Please forward resume to [email protected]

Property Claims, Field Adjuster. (Salary, Bonus and Car Provided)

Property Claims, Field Adjuster

Comma Recruitment are looking for an experienced Property Claims Field Adjuster,  you will be responsible for handling relatively complex property damage claims in the field, utilizing your excellent communication skills, and meeting service standards when settling claims and investigating losses. You will:

• Investigate relatively complex property claims in a timely and respectful manner through communication with customers, appraisers, adjusters and any other related parties
• Collect reports and statements to determine liability and coverage
• Develop an action plan for conducting investigations
• Negotiate with customers, claimants, lawyers, and insurance clients to settle claims
• Attends court proceedings, hearings or alternative dispute resolutions, as required, to provide information on claims
• Maintain current knowledge of insurance products, as well as appraisal or investigation techniques and services
• Identify process improvement needs and recommend changes to policies or procedures to maintain quality service and competitiveness

 

Your Skills

• A college diploma or a university degree preferred (or equivalent business experience)
• Completed or are working toward a Chartered Insurance Professional (CIP) designation
• 3 to 5 years of Property Claims handling experience
• Strong customer service and written communication skills
• Technical expertise at least partly acquired through direct field experience, in the investigation, assessment and settlement of property casualty claims
• Expertise in personal lines and commercial lines products
• Expertise in the principles of contracts and contract law
• Must possess a valid driver’s license with a good driving record as a vehicle is provided

 

Please forward resume to [email protected]

Casualty Claims Technical Specialist – Toronto

Technical Claims Specialist –  Casualty / Liability         $75,000 – $85,000

Comma Recruitment are looking for a Technical Claims Specialist to provide efficient and prompt investigation, evaluation, negotiation, and settlement of larger size and/or increasingly complex claims in accordance with corporate guidelines and best practices.

The Technical Specialist is a key technical expert within the claim unit and can support their teams from a technical perspective.

Responsibilities

Investigate, appraise/scope, confirm coverage, negotiate settlement and recovery, and conduct reporting and documentation of claims of larger size and/or increased complexity in accordance with established guidelines.

• Ensure the accurate and efficient payment of claims.

• Prepare files for referral to litigation unit when settlement cannot be achieved or is inappropriate.

• Adhere to service standards by communicating effectively with all parties involved.

• Develop relationships with other departments such as underwriting in order to meet business goals.

• Assist Manager with preparing/completing monthly statistical reports.

• Understand and apply best business practices towards compliance, internal control and operational risk controls in accordance to national standards and regulatory standards and policies.

• Mentor and coach less experienced claims and support staff.

• Work collaboratively with Supervisors and/or Managers on special projects and assignments requiring advanced technical skills and knowledge when required.

Comma Recruitment require 7-10 years General Liability and Auto Bodily Injury Claims adjusting with experience examining large and complex claims. Experience with Product Liability an asset

Working knowledge of the company principles and practices related to claims settlement, policy wordings, insurance contracts, fraud investigations, serious losses and coverage questions.

Completion of the CIP/FCIP designation.

Please forward resume to [email protected]

Bilingual Customer Service – HR

Comma Recruitment are looking for  Customer Service Representative’s to be the first point of contact to all client inquiries.

As a Customer Service Representative you will need to be skilled in case management, problem resolution and the delivery of a positive customer experience. The CSR responds to inquiries via phone or electronic media and must use active listening, probing, play-back, and style-matching skills to evaluate the customer’s needs.

The CSR navigates in a Windows based system through a series of databases in order to access the appropriate information to service the customer. For lengthy or complex questions, the CSR researches the information and calls the customer back as required. Research can involve a number of resources, including use of online databases, reviewing documents/call flows or requesting assistance from internal support areas.

Qualifications:

• 1+ years experience in customer service, call centre or contact centre environment
• Must be fluently bilingual in French and English
• Genuine desire and commitment to serving customers
• Refined communication skills (written and verbal)
• Strong problem solving and analytical skills
• Practical mindset with the ability to handle multiple streams of work, prioritize tasks and provide effective solutions
• Strong interpersonal communication skills
• Demonstrated ability to build good working relationships in a team environment
• Adept at handling multiple computer applications (programs and technology used within an insurance or  human resources call centre environment preferred) in a windows environment
• High learning agility
• Self-motivated
• Comfortable working in a structured fast paced changing environment
•  Experience working in Insurance, Human Resource, Benefits, Payroll or Financial Services
• Ability to work shift hours between 8:00 am and 9:00 pm

Please forward resume to [email protected]

Claims Technical Specialist

Technical Claims Specialist –

Litigation, CGL, E&O, D&O Claims

Comma Recruitment are looking for a Technical Claims Specialist, responsible for providing efficient and prompt investigation, evaluation, negotiation, and settlement of larger size and/or increased complexity claims in accordance with corporate guidelines and best practices.

Responsibilities

• Confirm coverage, investigate, negotiate settlement and document claims of larger size and complexity in accordance with established guidelines.
• Review available information and establish, maintain and recommend appropriate reserve, payment, and or settlement.
• Ensure the accurate and efficient payment of claims.
• Identify fraud indicators
• Prepare and summarize files for litigation and mediation/arbitration.
• Establish and monitor litigation disposition plans, completed by counsel, to ensure claims file handling strategies are being followed. Direct activities of defence counsel to ensure files are handled within litigation guidelines.
• Establish and monitor litigation expense budgets with counsel and ensure that litigation expenses follow budgets.
• Participate in disposition programs (ie. Settlement conferences, committee file review, mediations, arbitrations) as required.
• Adhere to service standards by communicating effectively with all parties involved and develop relationships with other departments in order to meet business goals.
• Provide superior customer service / communication with insured.

Qualifications

• Post-secondary education and / or equivalent on the job experience
• Minimum 5-10 years of casualty claims adjusting with litigation and CGL experience. Experience with E&O, D&O and Liability Claims.
• Actively pursuing CIP/FCIP designation
• Working knowledge of the company principles and practices related to claims settlement, policy wordings, insurance contracts, fraud investigations, serious losses and coverage questions.
• Ability to demonstrate patience, empathy and understanding in dealings with customers and provide prompt, efficient, and courteous service to all parties involved.
• Ability to assess liability and understand case law developments in the jurisdiction.
• Demonstrated negotiation skills.
• Strong analytical, problem-solving skills, investigative, and decision-making skills.
• Able to plan, organize, and manage multiple demands and changing priorities.
• Demonstrated ability to work well as a team player or independent contributor; Self-motivated.
• Strong leadership skills and interpersonal skills.
• Excellent communication (both oral and written) skills to explain processes and terms.

Please forward resume to [email protected]

RIBO Customer Service $40,000 – $45,000 + Bonus

RIBO Customer Service – Markham and Newmarket

Comma Recruitment require talented Customer Service Reps to provide exemplary customer service to clients within our Service Department who have home and auto policies with us

 

POSITION DESCRIPTION:

 

•             You will be our primary contact with your clients for service related issues.

•             Contact upcoming renewals, create referrals and explain coverages

•             Clear communication and quality telephone skills are very fundamental to your success.

•             Alert your team members to industry related issues requiring action or further communication.

•             When interacting with your clients, look for opportunities to up sell related and relevant coverages (such as optional accident     benefits, water damage coverage, valuable articles floaters, claims protection etc.).

•             When the insurer issues a non-renewal or the client requests a cancellation, promptly connect with your client and offer alternative coverages and/or pricing options. Retention is our key objective.

•             Maintain complete and accurate client activity notes on SigXp.

 

REQUIRED QUALIFICATIONS:

•             Post Secondary Education (college preferred)

•             R.I.B.O. license required.

•             Three to five years of successful customer service ideally with experience in a brokerage

•             Familiarity with SigXp considered an asset

•             Fluency in a second language is beneficial .

 

 

COMPENSATION

•             Our salary range is industry competitive and includes paid group benefits. Starting salary $40,000 – $45,000 + Bonus, we can be flexible with salary for candidates with extensive brokerage service experience

•             There is an annual bonus based on a combination of your individual performance as well as Brokerage results.

•             Full time roles with Vacation and Statutory holidays

 

OTHER INFORMATION

 

•             Start times are flexible and range between 8:30 and 10am. Team co-ordination is required.

Please forward resume to [email protected]

Ontario Regional Director

Comma Recruitment are looking for an experienced Director with a successful insurance career in Senior Management roles with experience in the broker network and Ontario Auto and Property business

As a senior member of the management team, the Regional Director is accountable for the regions distribution channel that sell and underwrite insurance products.

This includes developing, implementing and maintaining a 1 – 2 year business plan for the Region and an optimal organization design to deliver the highest level business plan results and performance metrics.

This is an amazing opportunity with a superb base salary and 30%-50% bonus making a very attractive package.

 

The successful candidate will accomplish this by:

Continually assessing the competition and market opportunities within the region on a regular basis to identify strengths, weaknesses, opportunities and threats, and developing and implementing appropriate action plans.

Selecting, developing and managing a capable team.

Ensuring high levels of Employee Engagement by developing employee engagement strategies & employee development plans.

Providing input to the strategic and tactical plans and directions

Ensuring a clear understanding of all employees on our underwriting approach & philosophy

Ensuring the delivery of optimal regional results within appropriate performance metrics including quality, quantity, timeliness, productivity, customer satisfaction and financial performance.

Ensuring the development and maintenance of appropriate policies, practices, selling techniques and continuous development initiatives to provide stability, growth and competitive advantage within the region.

Developing and maintaining effective strategic corporate partnerships with brokers in the region.

Establishing and enhancing our profile in the industry and in the community by participating in worthwhile business and community events.

Develop & maintain strong, collaborative working relationships with all departments, leveraging the relationships to help deliver results

 

Comma Recruitment require a high caliber executive with a minimum of 10 years of progressive business experience includes sales, marketing, underwriting operations and general management.

University degree/College diploma and CIP designation or active participation in CIP courses.

Demonstrated effectiveness in leadership and staff development, including proven success in leading a team ideally at VP, Director or Senior management level.

Extensive knowledge of the market and the brokers within the Ontario market.

Excellent influencing, collaboration and facilitation skills.

Ability to identify, analyze and provide business-case solutions to complex problems.

Excellent verbal and written communication skills.

Please forward resume to [email protected]

Auto PD Claims Manager – Toronto $70,000 – $85,000 + Bonus

Auto PD Claims Manager – Toronto

Comma Recruitment are looking for a talented Claims Manager to coach and mentor claims staff, ensure efficient and courteous service to claimants, insureds, and brokers through the direction and training of the adjusting staff in the investigation, analysis, and settlement of claims.

The Claims Manager will also be responsible for the day to day operations and departmental strategies in the achievement of regional goals for customer service, productivity and quality.

 

Responsibilities

• Ensure the effective day to day operation of the unit by coordinating and enhancing workflow and operational procedures.
• Provide effective daily leadership, coaching and motivation of staff.
• Manage customer service standards by communicating effectively with all parties involved.
• Direct the accurate and efficient payment of claims in accordance with legislative requirements.
• Actively Involved in settlement conferences, mediation and internal committee file reviews

Develop relationships with other departments such as underwriting, actuarial, distribution in order to meet business goals and to identify/implement new and better strategies to handle current functions and operations.

Understand and apply best business practices towards compliance, internal control and operational risk controls in accordance to national standards and regulatory standards and policies.

Work collaboratively with Managers and/or Directors on special projects and assignments requiring advanced technical skills and knowledge when required.

 

Comma Recruitment require:

Post-secondary school education and/or equivalent on the job experience.

2+ Years in Claims Management with over 5 years experience in a claims adjusting role

Working knowledge of the company principles and practices related to claims settlement, policy wordings, insurance contracts, fraud investigations, serious losses and coverage questions.

Working knowledge of other functional areas (i.e. Claims, Risk Management, Premium Accounting, etc.)

Ability to work within and adapt to PC oriented environments, including familiarity with e-mail and Internet skills. Advanced knowledge of Microsoft Office.

Completion of the CIP or FCIP designation.

Demonstrated ability to understand and interpret complex insurance contracts and changes in the interpretation as a result of case or statuary law.

Demonstrated negotiation skills, ADR experience.

Strong analytical, problem-solving skills, investigative, and decision-making skills.

Demonstrated report-writing skills, including an orientation toward detail and precision.

Able to plan, organize, and manage multiple demands and changing priorities.

Demonstrated ability to work well as a team player or independent contributor; Self-motivated.

Strong leadership, interpersonal, and coaching skills.

Excellent communication (both oral and written) skills to explain processes and terms.

 

Please forward resume to [email protected]

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