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Medical Claims Adjuster/ Processor
3 months ago
Helmsman Management Services Canada Inc. is a wholly owned subsidiary of Helmsman Management Services LLC, a US-based third-party administrator (TPA) backed by the strength of Liberty Mutual Insurance, a Fortune 100 company. We have the flexibility of a TPA as we manage auto and general liability claims to the best possible outcome. 5 billion in losses under management, Helmsman is the TPA partner of choice.
We provide an environment focused on openness, inclusion, trust and respect. Here, you’ll discover a workplace where we aim to help turn your passion into a rewarding profession. A premier flexible work environment (a combination of on-site & remote work) supporting our employees in their pursuit of a healthy work-life balance.
- Competitive health & dental benefits plan
- Market-leading pension plan
- Competitive time off policy
- Are you an insurance professional enrolled in a CIP course, early in your career and ready for a new and exciting challenge? Come join our rapidly growing team of claims experts on the ground floor and lead the expansion of our market-leading Canadian operation.
We are looking for a motivated Liability Claims Adjuster to support our Auto and General Liability operations, with a good understanding of Auto Property Damage and Liability claims.
In this role, you’ll have the opportunity to help build and grow our Helmsman business in Canada. You’ll handle a wide variety of in-house claims, from large Fortune 500 Corporations, initially focusing on Automobile and General Liability.
This includes reviewing reports from independent field adjusters, lawyers, and experts with the goal of determining coverage and assessing damages and referring to Company SSI (special service Instructions) & their policy coverage and self-insured retention.
Analyze, investigate, evaluate, negotiate, and settle the loss to determine coverage and claim disposition.
Make recommendations for reserves at appropriate level for claims outside of authority level.
Identify and communicate specific claim trends and account or policy issues to management, underwriting and risk services. Support claims marketing services by meeting with brokers, risk managers and reinsurers.
Prepare for and facilitate claim reviews with clients.
Provide oversight to claims being managed by Independent Adjusters to ensure Helmsman quality standards are maintained.
Bachelors' and/or advanced degree/diploma (experience may be substituted for education).
~2-3 years of related claims experience, including auto and general liability.
~ Candidates with a completed CIP (Chartered Insurance Professional) designation or those who are actively pursuing the CIP will be given preference.
~ Knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge.
~ We are committed to building a workforce that is representative of the communities we operate in and serve. If you require an accommodation for the recruitment/interview process due to a disability (which may be invisible or visible, temporary, or permanent), please let us know and we will work with you to meet your needs.
