Group Disability / LTD Claims Case Manager – Bilingual, Mississauga.

Disability Claims Case Manager – Group Claims and LTD Claims – Bilingual.

Comma Recruitment are looking for a Claims Case Manager with 3 years Group Claims and/or LTD claims adjudication experience to adjudicate and manage short term and long term disability claims. Provide efficient and timely service to all key stakeholders. The majority of the caseload will be LTD claims

• 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

 

Requirements:

• 3 years LTD / Group claims experience
• Excellent written and verbal communication skills
• Bilingual French and English
• 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
• Completed or interested in working towards one or more industry courses and designations (e.g. ALHC, FLMI, GBA)

Please forward resume to [email protected]   

Senior Personal Lines Underwriter – Montreal

Personal Lines Underwriter – $65 – $75k – Montreal

Comma Recruitment are looking for a Personal Lines Underwriter with 3-5 years experience, the ability to market and grow a book of high value/high net worth clients as well as underwrite personal lines policies.

Develop and execute marketing plans to drive new and renewal business, including in-person visits, telemarketing and distribution of marketing materials for insurance company partners
Evaluate, classify, and rate each risk to determine acceptability, coverage, and pricing
Develop and submit underwriting referrals
Monitor key metrics, such as, new business hit ratio, renewal retention ratio, premium growth, and loss ratio, formulating corrective action where necessary
Mentor and train Assistant Underwriters as needed
Qualifications

Bachelor’s degree or equivalent combination of education and experience
Minimum 3 years of underwriting experience, excess & surplus experience an asset.
Strong sales and marketing skills, interest in continued education and professional development
We offer a competitive base salary :

Highly lucrative sales incentive bonus plan
Health benefits
Employer paid continuing education courses and designations
Many opportunities for career advancement
Please forward resume to [email protected]

Senior Personal Lines Underwriter $65k – $75k – Toronto

Personal Lines Underwriter – $65 – $75k

Comma Recruitment are looking for a Personal Lines Underwriter with 3-5 years experience, the ability to market and grow a book of high value/high net worth clients as well as underwrite personal lines policies.

• Develop and execute marketing plans to drive new and renewal business, including in-person visits, telemarketing and distribution of marketing materials for insurance company partners
• Evaluate, classify, and rate each risk to determine acceptability, coverage, and pricing
• Develop and submit underwriting referrals
• Monitor key metrics, such as, new business hit ratio, renewal retention ratio, premium growth, and loss ratio, formulating corrective action where necessary
• Mentor and train Assistant Underwriters as needed

Qualifications

• Bachelor’s degree or equivalent combination of education and experience
• Minimum 3 years of underwriting experience, excess & surplus experience an asset.
• Strong sales and marketing skills, interest in continued education and professional development

 

We offer a competitive base salary :

• Highly lucrative sales incentive bonus plan
• Health benefits
• Employer paid continuing education courses and designations
• Many opportunities for career advancement

Please forward resume to [email protected]   

Forensic Accountant – Toronto

Forensic Accountant – Insurance Claims  $95k – $105k + Bonus

Comma Recruitment are currently looking a qualified Accountant to join our claims team, you will support the claims adjusters in the adjudication of claims, particularly with regard to business interruption and loss of income calculations.

They will be a dynamic contributor who is up to the challenge for building a strategic team, and responsible for analyzing and calculating the loss incurred by the claimant following an accident by analyzing the accounting records provided.

The candidate will provide to the claims adjuster the amounts payable to the insured to conduct a fair and equitable settlement. They will also engage in knowledge transfer to the adjusters regarding effective handling of claims with such calculations.

• Verify the validity of the claim for business/income loss
• Analyze financial documents provided while respecting the commitments and obligations to the claimant
• Listen to and anticipate the needs of the claimant and offer the best solutions
• Meet the claimant and his accountant when required, in collaboration with the expert in charge of the file loss. May require occasional travel
• Communicate the results in a clear, precise and simplified manner to the claims adjuster or the claimant, adapting communication style accordingly
• Provide fair and equitable settlement that will consider the policy, standards, rules, applicable laws and following company processes.
• Offer technical support to adjusters and team leaders, ensuring timely follow-up
• Develop efficient workflows and processes to ensure timely resolution of files

Qualifications

• Bachelor’s degree in accounting preferred
• 5+ years of experience in audit or accounting; forensic experience (asset);
• CPA in good standing
• Experience in the insurance sector (asset);
• Ability to work with technology and company systems;
• Ability to work in team;
• Excellent communicator
• High level of professionalism, integrity and ethics;
• Ability to negotiate and make quality decisions at the appropriate time;
• Autonomous, able to manage his work, be organized and rigorous;
• Good adaptability and stress resistance;
• Customer focused with strong interpersonal communication;
• Strong analytical and critical thinking capability; and, Eager to learn

Please forward resume to [email protected]   

Bilingual Disability Claims- Assistant Manager

Comma Recruitment are looking for a Bilingual Assistant Manager of Claims (French/English)

This is an opportunity to be a part of an exciting transformation. The Assistant Manager will interact and lead a team of employees within our Claims department.

Assistant Manager, Claims (Salary $75-85K + 3 weeks’ vacation +  bonus + benefits, etc)

 

The Assistant Manager, Claims will be accountable to manage a team of employees and co-lead training and auditing functions concurrently.  He/she will provide sound direction and guidance to ensure their team consistently meets production targets and service timelines.  Using their strong technical skills they will participate in User Acceptance Testing and represent the department on cross-functional project groups.  He/she will be involved with project coordination and actively support the Business Requirement Development process.  He/she will build relationship with teams across North American operations and proactively support implementation of process/projects.

 

Major responsibilities include:

• Provide ongoing training, coaching and supervision to Adjusters and support staff members.
• Assign work, monitor and track service levels, quality performance and productivity metrics.
• Review, approve, or deny claims over Adjuster’s authority level and within company guidelines
• Perform claim audit review in conjunction with Auditor and provide feedback on audit findings
• Coordinate with departments on behalf of the Claims department on claim issues and projects.
• Prepare weekly attendance report and keep departmental attendance records up to date
• Back-up to Claims, Manager and other duties as assigned.

 

QUALIFICATIONS REQUIRED

• Completion of University degree or equivalent work experience.
• Minimum 5 years of experience in an insurance company, including 2 to 3 years at supervisory level.
• Solid knowledge of disability products and previous experience assessing disability claims required.
• Clear and concise verbal and written communication skills in English and French.
• Ability to manage staff and drive teamwork towards a common objective.
• Excellent decision making, interpersonal and organizational skills
• Ability to make prompt, sound decisions and judgement based upon analysis of complex issues.
• Technically savvy and efficient with Microsoft Office and operating systems
• Aptitude for figures and statistics.
• Advance knowledge of medical terminology.
• Ability to maintain direction and professionalism in high-pressure situations.
• Willingness to embrace change and implement new approaches and ideas.
• Strong work ethic with customer centric focus.
• Demonstrate ability to work within minimum supervision.

Please forward resume to [email protected]

 

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