Upon notification of a new claim, reviews the relevant policy, gathers all necessary facts / information and contacts the insurer.
Conducts analysis of claims and coverage and recommends solutions to coverage issues.
Provides technical expertise to internal and external clients regarding claims coverage.
Negotiates payments and reimbursements with the insurers on the client’s behalf.
Updates the client and Client Executive on the status of the claim as required.
Enters current and accurate information and documentation in our EPIC system for each claim.
Manages and maintains an up to date claim file abeyance.
Builds and maintains excellent working relationships with Adjusters, Insurers and related trades and suppliers.
Identifies any client or system issues that may arise and report to the appropriate team member.
Complies with all corporate policies and procedures.
Develops claims management reports and distributes reports to management and / or clients as required.
Develops and distributes claim notification reports identifying major losses, trends or frequency for management and / or clients.
Assists the Claims Manager with various projects and presentations to prospective clients and / or associations while providing meaningful feedback to the claims team.
Minimum 5 years claims handling experience as a field adjuster on both property and casualty claims. Examining experience would also be an asset.
Level 1 General Agent License or able to obtain this license
Excellent knowledge of policy wordings and coverage interpretation as well as good analytical skills.
Strong problem solving skills
Strong verbal and written communication skills.
Ability to work well independently, as part of a team and with others throughout the organization.
Good project management and presentation skills.
Effective time management and organizational skills.
Customer focused and service oriented.
Attention to detail and precision essential.
Good knowledge of Microsoft Word, Excel and EPIC
Must have a vehicle and a valid driver’s license, as travel will be required on specific claims.
You will be working in a thriving, progressive and well-established insurance brokerage company
Competitive salary, group insurance benefits, and RRSP matching plans from your first day
A culture that encourages and supports continued education