Senior BI / Liability Claims Adjuster – Mississauga

Comma Recruitment are looking for a talented BI/Liability Adjuster with experience handling large and complex CGL and BI claims with experience with Municipality and construction.

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]

Auto PD Claims Adjudicator   

 Full training, Full Time $44k Salary   Richmond Hill/Markham

Comma Recruitment are looking for talented communicators with call centre experience to provide customer service and assist members with auto insurance claims.

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

Salaried position with base of $44k Salary + extensive benefits package from day one and 3 weeks vacation.

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

Hours are Monday – Friday 11am – 7pm, working 1 in 5 Saturdays (9-5) which allows you to have the following Friday off.

Must be strong communicators, 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]

Health and Dental Claims Manager

Comma Recruitment are looking for a Health and Dental Claims Manager to work with a Canadian firm that provides third-party group benefits administration, payments and consulting services.

We provide solutions that streamline the administration of an organization’s pension and health benefits programs to deliver the highest value to our clients.  A significant part of that undertaking is the administration of Health and Dental Claims.

We are looking for a strong technologically adept Health and Dental Claims Manager to join our close-knit and growing team.

Reporting to the Director, the successful candidate will be responsible for the following:

• Partner with business leaders, IT and digital claim submission partners to increase the percentage of digitally received claims.
• Partner with the Director to develop an organizational structure and processes with the client experience in mind.
• Develop strong business relationships with internal sales and service partners that depend on the delivery of a “best in class” claims experience.
• Build a team of Health & Dental Claims Experts that participate in the process of identifying possible special investigation cases.

A great fit for this role will have skills and experience that resonate with the following statements:

1. An expert with a deep understanding of the health and dental claims facet of the group benefits industry.
2. A track record of developing technology and process to drive efficiency, accuracy and improve the client experience.
3. Develops a culture that positively impact the client experience that the team buys in to. Exemplifies the mindset in the day to day.
4. Data driven decision maker. If the data doesn’t exist, knows how to create it.
5. Focused on achieving service and quality targets and standards.

Qualifications

• Post-secondary degree or diploma in a business-related field
• 8 plus years progressive experience in the group benefits industry, focus on health & dental claims and applicable regulatory standards and best practices
• Minimum 5 years of leadership experience with at least 1 year of experience leading people managers
• Industry designation in employee benefits (e.g. CEBS) is an asset

Please forward resume to [email protected]   

Pension Specialist – GTA

Pension Specialists ( One Bilingual role and one non-bilingual role)

 Comma Recruitment are looking for Pension Specialists, who are highly motivated individuals with a mathematical aptitude, and flare for providing excellent client service.

We  offer great training to individuals with previous experience working in a client service role, using an in-house custom administration system, growth and development opportunities and a superb working environment.

As a Pension Specialist and reporting to the Pension Supervisor, you will be part of a team of pension administrative staff focused on delivering exceptional service to all our Pension Clients and their members alike. In this role you would be responsible for the following:

• Processing Pension Benefit Calculations (i.e. Retirement, Termination, pre-post retirement death calculations) in compliance with pension plan rules and relevant pension legislation based on the jurisdiction of the Pension Plan and their members.
• Processing Pension Benefit Elections – finalizing benefit amounts, and payment instructions for processing by Pension Plan custodian.
• Responding in both written and oral form to inquiries from pension plan clients and their members alike – ensuring any issues are quickly resolved, and/or appropriately escalated for resolution.
• As required, participate in project work.

Qualifications:

• Pension administration experience
• Two to Five years of working experience in a client service role in an administrative setting with demonstrated experience working with an in-house custom administration system
• Previous pension administrative experience with experience processing retirement, termination and pre/post retirement death claims
• Strong written and verbal communication skills
• High proficiency with Microsoft Office
• Industry designation in employee benefits (e.g. PPAC and/or CEBS) is an asset
• **Bilingual English/French – oral and written is required for the bilingual role.

A great fit for this role will have skills and experience that resonate with the following statements:

1. Excellent oral and written communication skills.
2. Excellent customer service skills.
3. Work experience in a service-oriented environment working in an administrative setting.
4. Organizational skills, with the ability to handle multiple tasks simultaneously.
5. Ability to remain poised, patient, empathetic, tactful, and composed while handling plan participants.
6. Ability to work effectively independently and in a team environment.
7. Ability to work from home (dedicated space that allows for viewing and discussion of confidential private information).
8. Bilingual English/French – oral and written for the bilingual position
9. Previous Pension Benefit experience is a great asset

Please forward resume to [email protected]   

Bilingual Sales Broker, Ottawa

Bilingual Sales Broker, Ottawa

 Comma Recruitment are looking for a Bilingual, RIBO licensed Sales Broker, responsible for selling personal line insurance products or services through the achievement of opportunity-based sales quotas.

The Bilingual Sales Representative will reach business targets through excellent telephone sales and communications skills. This individual will also develop his or her phone-based revenue generation through the creation of sales leads, initiation of prospect calls, and establishment of ongoing rapport with existing and potential customers. Integrity, vision, and passion are essential for this role.

Responsibilities:

• Tailoring interactions by utilizing emerging technology solutions, phone, and email as well as meeting with walk-in customers.
• Identifying customer needs to build on existing products which includes developing contact plans, introducing new products and services and quoting and marketing personal insurance business.
• Selling products by establishing contact and developing relationships with prospects, answering incoming communications, following-up on expiry date cards, re-quoting prospects from previous years and cancelled files, and contacting leads generated.
• Creating a trusting environment that fosters new sales opportunities and retention of existing business. Building and fostering a network of referrals to create new opportunities for revenue growth.
• Actively participating within the team unit and independently to continuously contribute to overall business improvement.
• Actively owning and resolving all customer inquiries, while ensuring the customer effort is minimized.
• Accurately processing account changes, maintaining complete customer documentation, preparing correspondence, and documenting files for follow up.
• Tackling complex insurance-related cases, creatively utilizing all available resources until full resolution is met.

Qualifications:

• RIBO license, or willing to obtain within the first 60 days of employment. AMF licensing is considered an asset.
• A minimum of three years’ customer sales and service experience, preferably in personal lines, automobile or property insurance.
• Exceptional communication skills and the demonstrated ability to deal effectively with all levels of internal and external stakeholders.
• Superior time management and organizational skills to handle competing priorities.
• Intermediate knowledge of Microsoft Office Suite applications.
• The ability to fluently communicate in both English and French is required.

Please forward resume to [email protected]   

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