Multi Lines Claims Adjuster – Full Time – Toronto

Multi-Line Claims Adjuster

SUMMARY:

This position is responsible for investigating, negotiating and settling multi-line claims including moderate to complex CGL, BI, Property and Liability 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.
• Experienced handling multi line claims from start to settlement
• Provide instruction and direction to external vendors i.e.: independent adjusters, legal counsel, engineers.
• Calculate ultimate probable exposure and reserve accordingly.
• Prepare Major Loss/Reinsurance Reports and participate in Claims Committee process.
• Comply with service standards as outlined in the claims manual.
• Actively participate in settlement initiatives along with both private and mandatory mediations.

 

REQUIRED EXPERIENCE AND QUALIFICATIONS

• Ideally 5 years claims experience handling multi-line claims

• Knowledge of regulatory and contractual obligations, medical terminology, vocational rehabilitation concepts and dispute resolution practice code.

• Detail oriented and well organized individual.
• Strong oral and written communication skills.
• Some Travel to mediations/trials is required

• Superb interpersonal skills and leadership qualities/potential.
• Work well individually or as a part of a team.
• Computer literacy with working knowledge of Microsoft Office Suite 2000 and/or XP.
• CIP or working towards

Please forward resume to [email protected]

 

Business Development Specialist – GTA

Business Development Specialist  –  GTA

Comma Recruitment are looking for a business development specialist who is motivated by and enjoys working in a performance driven atmosphere that emphasizes collaboration and teamwork.

An applicant’s ability to not only drive sales, but to deliver superb service and represent our company at industry events and present our services throughout the insurance industry.

Location   : GTA – Clients throughout GTA, some travel required, work from home opportunities.

Position              

To drive new business to the company using a variety of methods and techniques, while assisting with ongoing client relationship management. While marketing is one of the job’s primary duties, the position carries a more focused task, specifically, attracting new business by doing service segment presentations to both small and large groups. The business development specialist will help to devise effective introductory strategies into selected organizations and new markets, create client maps, collect/collate market data for the business development team, and execute on defined strategies.

Preferred Education & Experience

Minimum 2- 5 years of business development/marketing experience

Post-secondary education an asset particularly with industry sales experience

Microsoft Word, Excel and PowerPoint

Driver’s license

Capacity to travel and work flexible hours

Optimal oral and written communication

Enjoys working with high technology

Remuneration  : Competitive salary, full benefits, performance incentives

Please forward resume to [email protected]

Program Underwriter – Downtown Toronto

Senior Program Underwriter

Health, Education and Social Services

Comma Recruitment are currently looking for an Intermediate / Senior Underwriter with experience as a Program Underwriter, exposure to Heath, Education or Social Services is a real asset along with P&C experience.

The Underwriter is responsible for underwriting and servicing moderately complex accounts in accordance with established guidelines and business objectives in the achievement of national standards for data quality and service levels.

• Responsible for the successful evaluation, selection, negotiation, and pricing for assigned policies in order to ensure a profitable book of business within established underwriting authority.
• Develop and maintain a professional relationship with brokers and/or customers to enhance understanding of the target market and to contribute to quality service, problem solving, and risk selection.
• 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 train less experienced underwriters and support staff.
• Work collaboratively on special projects and assignments when required.
• Other duties as assigned.

QUALIFICATIONS

• Post-secondary school education and/or equivalent on the job experience.
• Minimum 3-5 years’ experience in the property and casualty industry.
• Excellent keyboarding and data entry skills.
• Working knowledge of company underwriting philosophy, policy contracts, rating programs, risk information sources, underwriting/technical manual information, statuary constraints, and computer workflow procedures.
• Ability to work within and adapt to PC oriented environments, including familiarity with email and Internet skills. Working knowledge of Microsoft Office.
• Actively pursuing CIP/FCIP designation.

Please forward resume to [email protected]   

Medical Reporting – Quality Assurance : GTA East

Medical Reporting – Quality Assurance

Comma Recruitment are currently looking for Quality Assurance staff for medical reports, you must have a medical background or Kinesiology qualification.

You will be reviewing medical reports, insurance injury reports and editing for quality and accuracy.

You will also be responsible for file coordination, working with medical professionals and injury clinics.

Qualifications:

• Knowledge of the medical examination process
• Experience in clinical editing and proof-reading to produce medical reports
• Attention to detail
• Superior organizational and time management skills
• Ability to work under pressure
• Excellent command of the English language, in both written and oral forms
• Superior knowledge of medical terminology and the scope of practice of different disciplines
• Working knowledge of Microsoft Windows

Full time position $35,000 – $42,000 + benefits, vacation

Monday – Friday 9am – 5pm

Please forward resume to [email protected]   

Director – Medical Claims and Underwriting

Director – Medical Claims and Underwriting

JOB DESCRIPTION:

The Director of Medical Claims and Underwriting is a consulting role, a senior level position reporting to the SVP.  Excellent salary/consulting opportunity for a senior level medical provider with insurance claims/underwriting experience.

 

This individual will:

 

• Act as the Medical expert and render final decisions on medical claims and underwriting applications.
• Work closely with senior management and external physician practices in the resolution of complex, enterprise-wide medical claims in areas such as strokes, cancer, heart attacks and kidney failure.
• Assure the Company is in compliance with all federal, provincial and local laws.
• Conduct periodic teaching conferences for underwriting and claims adjusters on medical topics of interest.
• Assist in the formulation of life, health and disability insurance policies from a medical perspective.

 

REQUIREMENTS:

• Medical Degree.
• Licensed to practice in Canada
• Board Certified or eligible in Internal Medicine.
• Ability to read and interpret EKG’s, lab reports, stress tests, echocardiograms, etc.
• Ability to communicate effectively with all levels of employees and management.

Please forward resume to [email protected]  

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