Bilingual – Senior Claims Adjuster

BILINGUAL-  SENIOR CLAIMS ADJUSTER

Comma Recruitment are looking for a Senior, Bilingual Claims Adjuster:

• Adjudicate contested and complex accident, life, critical illness, cancer and sickness disability claims.
• Adjudicate suspicious and fraudulent claims and refer files for special investigation if required
• Approve, deny or enquire further information from claimants, doctors or hospital to assess claimant’s eligibility for benefits.
• Interpret and administer policy provisions including, but not limited to eligibility, definition of total disability, and pre-existing investigations.
• Review and make decisions for policy rescission, after discussion with underwriting.
• Request independent investigation on claimants such as activities check/IME/peer-to-peer assessment.
• Consult with other departments (Legal, Medical Consultant, Underwriting, etc) as required and conduct investigations.
• Discuss and explain benefit payments to claimants. Document claim file actions and telephone conversations appropriately. Follow up on claims and send timely follow-up reminders.
• Review and approve adjusters’ files over their approval limits.
• Provide ongoing training and coaching to adjusters and new hires.
• Handle complaints – log, review, communicate with all parties involved, and provides response to complainants and/or Department of Insurance or other consumers agencies in accordance with Company compliance.
• Required to meet or exceed departmental service, quality and production objectives.

QUALIFICATIONS REQUIRED

• Minimum high school education or college diploma
• Minimum 5 years of claims adjudication experience
• Bilingual – English and French written and verbal communication skills
• Mathematical skills – aptitude for figures
• Insurance courses such as LOMA and HIAA
• Ability to make good decisions and use sound judgment
• Strong knowledge of medical terminology

Please forward resume to [email protected]

Underwriter – Property and Casualty. Toronto & Mississauga

 Underwriter – Property and Casualty

The Property and Casualty Underwriter will be responsible for meeting or exceeding the commercial insurance growth and profit goals for assigned brokers.  Comma Recruitment are looking for a very talented intermediate / senior underwriter with experience in P&C, any experience in MGA or Brokerage an asset.

• Work as a team to manage your assigned brokers and ensure that excellent broker relationships are maintained.
• Work as a team with the Sr. Production Underwriter and manage your assigned brokers to underwrite and service the renewal portfolio, endorsements, cancellations, certificates etc. to ensure they are completed within service standards in accordance with company guidelines and within assigned authority.
• Assist with new business inputting, rating, issuing and documentation to ensure the correct procedures are followed and service standards are met.
• Develop and maintain strong broker relationships and market our insurance products and services.
• Analyze and evaluate results for your portfolio and use individual or collaborative judgment to ensure that profit and growth goals are met.
• Communicate results, outstanding issues, opportunities to Director of Commercial Insurance.
• Record underwriting information for the purpose of evaluation, assessment, audit and profitability.
• Assist with training and coaching of other staff as required.
• Additional duties as assigned by the Director of Commercial Insurance.

Required Experience, Qualifications, and Expectations:

4+ years of experience in commercial Property/Casualty underwriting, experience with MGA’s a real asset, CIP designation, strong knowledge of Microsoft Word and Excel.

• Strong property and casualty product knowledge, and the ability to make sound underwriting decisions for mid-market and larger complicated accounts.
• Possess excellent oral and written communication skills and superb time management and organizational skills.
• Ability to work well independently as well as part of a team
• Accountability, customer-centric thinking, teamwork and a commitment to excellence.
• Possess strong team building, coaching and leadership skills

 

Please forward resume to [email protected]

Special Risks Underwriter – Personal Accident

Special Risks Underwriter – Personal Accident  AD&D

Comma Recruitment are looking for a Special Risk Underwriter, the purpose of this position is to provide underwriting for specialized markets including Personal Accident, AD & D, risk classification and compliance to established standards.

Experience with Lloyds markets or MGA experience is a great asset.

Underwriters are responsible for evaluating & selecting profitable new risks, based on our underwriting appetite and principles, while developing and maintaining value-driven relationships with brokers.  Experience growing a book of business and technical underwriting knowledge is required.

This is a full time role with excellent vacation, benefits and salary package

Qualifications:

• A minimum of 2 years underwriting experience, MGA /Brokerage experience a great asset
• Experience with Lloyds markets or special risks preferred – AD&D , Personal Accident
• College or university degree or equivalent work experience
• Excellent written and verbal communication skills
• Working towards, or have attained, the CIP designation
• Ability to collaborate with peers and subordinates as well as the ability to work well independently

Please forward resume to [email protected]

Loss Prevention Consultant

LOSS PREVENTION CONSULTANT  – $60,000 – $70,000

Comma Recruitment are looking for a Loss Prevention Consultant , responsible for providing expertise to both existing and prospective clients, responsible for GTA East, from Toronto East to Kingston.

RESPONSIBILITIES

Analysis of Risk Exposure

• Identifies hazards and exposures relative to property, casualty, automobile and pollution insurance provided.
• Identifies additional hazards and exposures in the business for which insurance coverage is not provided to assist the business owner in managing his/her operation.
• Considers controls in place to assess their effectiveness and whether they are adequate.
• Collects information regarding the operations of the business through effective questioning  and interview techniques.
• Collects accurate measurements and calculations in order to prepare an estimate of building values including application of depreciation/obsolescence principles.
• Presents our Insurance Loss Prevention documentation and programs in order to assist the client on an on-going basis
• Discusses recommendations for improvement with client as part of the site visit.

 

Administrative

• Fully documents collected client information utilizing established formats and templates.
• Writes recommendations as part of the report so that others can accurately and formally communicate those to all stakeholders.
• Documents work and expenses by submitting reports with no more than a 2 -week delay.

 

Training

• When requested, assists with classroom and field training of others.
• Follows the established Loss Prevention Training Program. This includes a combination of instruction based on the Training Manual and their own practical knowledge.
• Provides a detailed explanation on how to complete all relevant forms and reports.
• Accompanies other employees on account visits that involve complex loss prevention issues.

Professional Development

• Monitors industry and marketing trends within the general marketplace and communicates these to the Director.
• Develops relationships with industry peers and related associations to keep abreast of industry changes and client needs.
• Attends seminars to improve overall knowledge of insurance products.

Involvement in the general sales cycle

• Accompanies Risk Coordinators on client trips on an as needed basis to review risks.
• Supports sales presentations when requested by the Risk Services Coordinator.

 

QUALIFICATIONS

• Post-Secondary education in engineering, building technology, or insurance courses such as CRM or CIP.
• Minimum 3-5 years’ experience as a Loss Prevention Trainee or equivalent work experience in the P&C industry.
• Valid Driver’s License and acceptable driving record.

Please forward resume to [email protected]

Personal Lines CSR – $45,000

Mandarin / Chinese Personal Lines CSR –  GTA East – Full Time

Duties and Responsibilities:

Comma Recruitment are looking for a RIBO Licensed Client Service  Representative to handle in-bound calls, requests for policy changes and billing questions.

Looking for confident CSR’s to provide exemplary customer service to clients within our Service Department who have home and auto policies with us.

 

Must be perfectly fluent in English, Mandarin and/ or Cantonese.

• 2-5 years experience in a similar insurance sales or service role
• Handle in-bound phone calls, requests for policy changes and billing question
• Able to make outbound calls to existing clients for renewals
• RIBO licensed
• Excellent computer and communication skills

 

Great salary from $40,000 – $45,000 depending upon experience

Full training, full time role with benefits and vacation.

Please forward resume to [email protected]

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