Claims Intake Coordinator $45k – $55k

Comma Recruitment are looking for a claims intake coordinator to utilize their knowledge of the insurance claims processes to act as claims triage, manage the intake of new claims and coordinate claims files while liaising with clients and adjusters on the progress of the claim

We are looking for

• 1-3 years years of insurance adjusting industry or broker claims experience an asset.
• Working knowledge of Auto/Property adjusting and claim adjudication process preferred.
• Prior experience in customer service environment required, preference for insurance industry experience
• Excellent oral and written communication skills.
• Proficiency with Microsoft Office products (i.e., Email, Word, Excel) and ability to learn various systems

This is a client service role that will interact extensively with various parties involved in the claim process including Brokers, Insurance companies, Insureds, Adjusters as well as corporate office team members. In addition to claims intake and file coordination, this role must represent itself as a Claims Partner and advocate for the Broker client to ensure a successful claim experience. Responsibilities will include:

Claims Intake/Setup , File Coordination and Claims Advisor

Please forward resume to [email protected]

Claims Administration and Support $40 – $50k

Comma Recruitment are looking for a strong administrator with a claims/insurance background to support the claims department with a variety of tasks to assist them with the handling of claims to ensure timely and accurate processing, while delivering high quality customer service. In addition, this role supports the Accounts Receivables function.

• Provide administrative support to the Adjusting team
• Intake all new incoming claims through email
• Gather and coordinate necessary documentation and information related to the claim in order to create a notice of loss and distribute to appropriate reporting channels within established timelines.
• Within 24 hours of notice or receipt of report from the Adjuster, complete the 24-hour report in accordance with client expectations.
• Forward notice of loss and related documentation to insurer or broker via email.
• Upload required information / documentation and diary service
• Scan and upload to applicable file any incoming cheque payable to insureds, contractors, etc.; notify Adjuster of payment received and any pending action required.
• Handle account receivable function
• Follow up on past due invoices; report any invoicing queries or concerns from Examiners.
• Sort through incoming mail.
• Prepare monthly and quarterly reports as requested
• Provide support with PowerPoint presentations as requested

QUALIFICATIONS
• Post-secondary education and/or a combination of education and related experience.
• Experience in insurance adjusting or broker claims environment preferred.
• Prior experience handling account receivable an asset.
• Experience in a customer service environment an asset.
• Excellent oral and written communication.
• Proficiency with Microsoft Office products (i.e., Email, Word, Excel, PowerPoint) and
aptitude to learn various systems.
• Proven ability to have an empathetic telephone manner, professional communication
skills and mannerism throughout a telephone call experience.
• Demonstrated ability to manage changing priorities and proven organizational skills to plan, review and follow-up to prioritize tasks. Planning must be done to handle deadlines, peak periods and/or unexpected situations.
• High attention to detail.
• Demonstrated professionalism and work ethic.
• Proven ability to contribute to and work well within a team environment.

Please forward resume to [email protected]

Personal Lines: Regional Director, Alberta  $125k+Bonus

Personal Lines: Regional Director, Alberta  $125k+

Comma Recruitment are looking for a Senior Manager/ Senior Broker with Sales and Underwriting experience, success leading teams while developing broker contacts and industry relationships throughout Alberta, role can be based in Edmonton or Calgary.

As a senior member of the management team, the Regional Director is accountable for the broker distribution channel within their region to 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.

The successful candidate will accomplish this by:

• Continually assessing the competition and market opportunities within the region on a regular basis to identify strengths, opportunities, weaknesses 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 our 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 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.
• Supporting retention and growth goals through the development, implementation and monitoring of function specific strategies to enhance policyholder and broker satisfaction levels.
• Develop & maintain strong, collaborative working relationships with all departments, leveraging the relationships to help deliver on the key deliverables.

Qualifications and Experience Required:

• University degree/College diploma and/or CIP designation or active participation in CIP courses.
• 10 years of progressive business experience includes sales, marketing, underwriting operations and general management.
• Demonstrated effectiveness in leadership and staff development, including proven success in leading a team.
• Extensive knowledge of the market and the brokers within the 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]

 

CGL Claims Adjuster, Construction, BI and Municipality Claims   $80 – $90k + Bonus

CGL Claims Adjuster, Construction, BI and Municipality Claims   $80 – $90k + Bonus

Comma Recruitment are looking for a talented CGL adjuster with experience with BI, Liability, Construction Wrap Up and handling Municipality Claims

This position is responsible for investigating, negotiating and settling moderate to complex 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

• 5+  years of experience adjusting CGL 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]

Customer Service Incoming Call Centre.         Full training, Full Time $40 – $42k  Salary  Markham

Comma Recruitment are looking for talented communicators with call centre experience to provide customer service and assist members with incoming calls for billing and coverage inquiries.

Full training provided including in-class education, mentoring and on-going on the job training.

Salaried position with base of $40,000 – 44,000 + extensive benefits package and 3 weeks vacation.

Working with multi national company, incoming call centre where service is of paramount importance.

Must be strong communicators, excellent IT skills and a positive attitude.

Reliable people with professional attitude along with the ability to learn and develop whilst providing first class customer service.

Please forward resume to [email protected]   and highlight customer service/call centre experience.

Personal Lines Property Claims Manager – GTA West ( Field Based Position) $80 – $90k + Car

Comma Recruitment are looking for a Property Claims Manager or Field Claims Adjuster with extensive experience handling Personal Lines Property Claims.

The Manager, Property Claims, will motivate, engage, and inspire a unit of Property Field Claim Specialists throughout GTA West to deliver outstanding Customer Service while following defined procedures in accordance with the Ontario Property guidelines.

• Provides operational leadership and direction to a capable team of direct reports who are working in the field on Personal Lines Claims
  • Ensures delivery of optimal individual and unit results
  • Develop staff and their abilities by providing appropriate coaching and feedback in preparation for developmental & career opportunities
  • Recommend, implement and maintain an optimal organization design within the unit, including alignment of roles, accountabilities and authorities and alignment of tasks within the region to deliver on our strategy
  • Actively look for ways to improve customer service, efficiencies, employee satisfaction and cost containment
  • Recommend appropriate level of resources for unit
  • Ensure performance and development plans are in place for all direct report employees
  • Provide ongoing direction to unit to achieve targets
  • Participate in staff appraisals

Comma Recruitment are looking for a Field Adjuster or Personal Lines Manager with 5-7 years Personal Lines Property Claims handling experience, ideally management and/or road adjusting experience
• Demonstrated strong leadership, employee engagement skills required
• Ability to collaborate with peers and influence others
• Ability to problem solve and initiate actions
• Ability to develop direct reports and achieve results
• Focus on leading a team to provide outstanding Customer Service
• Logical and effective communicator, explaining information to superiors, peers and subordinates in a well thought out manner
• Actively enrolled in or completion of CIP designation
• Frequent travel within the territory is required

Please forward resume to [email protected]

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]

Customer Service Contact Centre    Markham.

Full training, Full Time $42,000 + Benefits and 3 weeks vacation

Comma Recruitment are looking for talented communicators with call centre / service/sales experience to provide customer service to existing clients in an incoming call centre environment.

Full training provided including fully paid in-class education, OTL licensing full paid  and on-going on the job training. Working Mon – Friday 1pm – 9pm

Salaried position with base of $42,000 extensive benefits package and 3 weeks vacation.

Must be strong communicators with service and call centre experience.

Please forward resume to [email protected]

Claims Specialist

Claims Specialist

Comma Recruitment are looking for a Claims Specialist who will be responsible for coordination of all claims received through the Broker Account. This is a client service role that will interact extensively with various parties involved in the claim process including Brokers, Insurance companies, Insureds, Adjusters as well as corporate office team members.  In addition to claims intake and file coordination, this role must represent itself as a Claims Partner and advocate for the Broker client to ensure a successful claim experience.

• Maintain daily access in the telephone queue in accordance with our expectations, for intake of new claims.
• Intake and setup of new claims through email, telephone contact or after-hours assignment.
• Gather and coordinate necessary documentation and information related to the claim in order to create a notice of loss and distribute to appropriate Carrier reporting channels within established timelines.
• Input and setup new claims, triage claims via email, fax, web submission, and/or telephone in accordance with the Broker Claim Services Agreement and our protocols.
• Adhere to and maintain file diary schedule in the Broker operating system. Diaries for all claims setup must be kept current and relevant at all times
• Cross-train Junior Claims Specialist to support Broker account as necessary.
• Provide support on all other accounts by assisting with backlog of intake and setting up claims from the telephone queue.

File Coordination (40%)

• Maintain regular contact with Carrier, Adjusters and Examiners by telephone or email to obtain open claim status information and access our electronic file and Broker operating systems concurrently; support the Adjuster in keeping the client up-to-date.
• Manage all incoming claim correspondence from Carriers or Adjusters to update the status of claims. Incoming correspondence and or documents must be input into the Broker operating system and cleared within 5 days of receipt.
• Provide Management Reports for corporate office and Broker Accounts as requested.

Claims Advisor (20%)

• Advise, guide and answer questions on the claim process to the Broker Client through telephone/email contact or in-person.
• Through contact with Carrier Adjuster/Examiner advocate for the Broker Client regarding the process. • Respond to Broker Client calls received directly following claim setup and answer questions on behalf of the Broker.
• Advise Insureds of no coverage (in consultation with their Broker) in a professional and empathetic manner in order to rectify problems on their own and/or support looking after their needs.

QUALIFICATIONS

• 3 – 5 + years of insurance adjusting industry or broker claims experience an asset.
• A post-secondary education or a combination of relevant education and on-the-job experience.
• Working knowledge of Auto/Property adjusting and claim adjudication process preferred.
• Actively pursuing CIP designation preferred with completion of Auto License course through FSCO/CIAA an asset or willingness to enroll in and complete the CIP curriculum within the specified timeline.
• Prior experience in customer service environment required.
• Excellent oral and written communication skills.

Please forward resume to [email protected]

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