Senior Claims Field Specialist Jobs

Knowledge of Applied Systems EPIC Broker Management System an asset

Claims intake, reporting, file management

Work closely with account teams and clients to ensure exceptional client management.

Post secondary education, preferably in business administration or related field

4+ years of commercial insurance experience in a property and casualty or liability claims function

Experience in construction insurance an asset

Obtained or working toward Chartered Insurance Professional (CIP) or Canadian Risk Management (CRM) designation preferred.

Utilizing experience and information obtained to evaluate financial exposures. Negotiating appropriate and timely resolutions on assigned claims across multiple jurisdictions.

Moderate to Extensive years of experience in handling litigation claims for Professional lines of business.

Robust analytical and organizational skills, with the proven ability to work independently while demonstrating initiative toward continuous improvement.

Enhanced family friendly leave benefits

Signatory to the UK Women in Finance Charter

Ability to provide an expeditious and delightful member experience

At least one year of experience providing customer service over the phone

French bilingual skills are a plus!

Review medical records to make claim outcome decisions against received invoice(s) as aligned with the Trupanion policy

Enter data from medical records into the database

Contact members regarding claim assessment and status (phone/email) as applicable

Ability to provide an expeditious and delightful member experience

At least one year of experience providing customer service over the phone

French bilingual skills are a plus!

Review medical records to make claim outcome decisions against received invoice(s) as aligned with the Trupanion policy

Enter data from medical records into the database

Contact members regarding claim assessment and status (phone/email) as applicable

Minimum of 3 years customer care experience (insurance, and health and dental benefits claims an asset)

Strong communication skills, both verbal and written

Claims adjudication and customer care experience.

Technical knowledge on application base system

A desire to provide exceptional customer service, and a valuable experience to clients.

Extended health care and dental benefits

A minimum 5 years’ experience adjusting residential property claims or working in a relevant property claims role.

Experience in complex claim investigation

Strong verbal and written communication skills with a commitment to providing outstanding customer service.

Experience handling large loss residential property claims would be a definite asset

Experience adjusting auto claims would be considered an asset.

Completion of the IICRC (Institute of Inspection, Cleaning and Restoration Certification) or the HAAG Certification is considered an asset.

Bachelors' and/or advanced degree/diploma (experience may substitute for education)

Competitive health & dental benefits plan

External education & tuition reimbursement programs

Provide claims marketing services by meeting with brokers, risk managers and reinsurers.

7-10 years of related claims experience

Functional knowledge of law and insurance regulations in various jurisdictions

Highly proficient time management and organizational skills with the ability to prioritize work in a fast paced, changing environment

A minimum of 2+ years insurance claims adjusting experience

Strong knowledge of property estimating software, Xactware knowledge preferred

Effective customer service skills including empathy and concern for our customers

Excellent communication skills, both written and oral

Excellent investigative and analytical skills

Handle relationships with internal and external partners involved in management of customer claims

Acquire and maintain appropriate provincial adjuster licenses and comply with continuing education requirements – where required

Communicate policy coverage and benefits to customers

Identify and report on any suspicions of fraud or financial irregularities in line with existing internal and external requirements and procedures

CIP or FCIP Industry designation or other relevant professional insurance qualification

University Degree or College Diploma or equivalent Property technical work experience

Familiarization with the requirements of the appropriate provincial/state legislation and/or regulations related to the type of claim being reviewed.

Perform all necessary benefit calculations and ensure all related activities are in compliance with provincial/state statutory and internal standards.

5 – 7 years experience adjudicating complex claims, including contestable claims;

Knowledge of the interpretation and application of claims adjudication regulations across the United States, knowledge of Canadian regulations an asset

Advanced verbal and written communication skills to effectively communicate with internal and external customers/partners and vendors.

Strong analytical skills for research, review and assessment of claims.

Post-secondary degree/diploma or equivalent work experience

Minimum 2 years related work experience in audit/quality/fraud/clinic setting

Experience within a paramedical or other clinic setting considered an asset

Excellent communication skills, both written and oral

Ability to manage multiple demands with tight deadlines is necessary.

Understanding of Health Claims processes and business knowledge would be an asset.

Post-secondary degree/diploma or equivalent work experience

Minimum 2 years related work experience in audit/quality/fraud/clinic setting

Experience within a paramedical or other clinic setting considered an asset

Excellent communication skills, both written and oral

Ability to manage multiple demands with tight deadlines is necessary.

Understanding of Health Claims processes and business knowledge would be an asset.

Excellent customer service skills with the ability to manage multiple stakeholders

Minimum 5 years’ Adjusting experience.

Detailed knowledge of 1st Party Property Coverages

Strong communication skills and de-escalation methodologies

Attend claims assigned within a designated territory

Investigate, negotiate, and settle losses within set guidelines

Education or work experience in an audit/quality/fraud discipline considered an asset

Post-secondary degree/diploma or equivalent work experience

Experience within a paramedical or other clinic setting considered an asset

Excellent communication skills, both written and oral

Ability to manage multiple demands with tight deadlines is necessary.

Understanding of Health Claims processes and business knowledge would be an asset.

You're looking for an employer that prioritizes the client and employee experience

Ongoing training and support to help you achieve your career goals (continuing education for PDUs 100% paid by Desjardins)

Defined benefit pension plan (65% employer-paid)

You're an AMF-licensed claims adjuster

You understand the insurance or construction industry

You're fascinated by the latest advances in technology

Preparing reports on claims disputes for management review and guidance

Providing general guidance and support to the Claims Management Team as required and approved by the Regional Claims Manager

Maintaining accurate time management records for billing purposes

Skills And Experience That Will Lead To Success

Minimum 5 to 8 years of claims handling experience in the property/casualty sector is required

General insurance experience is an asset

Excellent time management, negotiation and conflict resolution skills.

Additional insurance investigation or program management experience are a plus.

Media training or brand-risk management

Providing upward feedback, regarding the status of claims, communicating regularly with supervisors and managers.

Be an advocate of high quality standards, innovation, resolution conflict and customer experience excellence.

2+ years of experience in customer service.