Spécialiste commercial service clients web

Apply remote type Hybrid locations AB - Calgary time type Full time posted on Posted 2 Days Ago job requisition id R-35293 Who Are We?
Solid reputation, passionate people and endless opportunities. Our superior financial strength and consistent record of strong operating returns mean security for our customers – and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.
Claim Target Openings
Investigate, evaluate, reserve, negotiate and resolve assigned serious and complex claims in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management. Promptly manage claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management, and disposition. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. Directly handle assigned severe and/or complex claims.
Provide quality customer service and ensure file quality timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
Consult with Manager on use of Claim Coverage Counsel as needed.
Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of exposure.
Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants, fraud investigators, and other experts.
Maintain claim files and document claim file activities in accordance with established procedures.
Utilize diary management system to ensure that all claims are handled timely.
Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims.
Attend and or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
Actively and enthusiastically share experience and deep knowledge of creative resolution techniques to improve the claim results of others.
Apply the Company's claim quality management protocols, Best Practices and metrics to all claims; Develop and employ creative resolution strategies.
Responsible for prompt and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal representatives. Manages litigated claims.
Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy our customers.
Apply expert litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy.
Track and control legal expenses to assure cost-effective resolution.
Develop and employ innovative techniques to manage expense and outcome when independent counsel is engaged.
Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
Recognize cases, based on severity/complexity protocols, that should be transferred to another level of claim professional and refer on a timely basis.
Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquires from brokers.
Represent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable Provincial laws.
Actively provide mentoring and coaching to less experienced claim professionals to increase the technical expertise and improve bench strength.
Share accountability with business partners to achieve and sustain quality results.
Evaluate all claims for recovery potential; digest and communicate this information to other Company departments and divisions to assist in underwriting and management decisions.
May assist underwriting business partners in marketing and account-contact efforts.
May participate in periodic file quality reviews.
5+ years claim handling experience with 5-7 years experience handling serious injury and complex Bodily Injury claims preferred.
~ Excellent negotiation and customer service skills Advanced knowledge of medical/disability claims with expert understanding of the litigation process in both Provincial and federal courts, including relevant case and statutory law and procedure; expert litigation management skills.
~ Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
~ Thorough understanding of commercial and personal lines products, policy language, exclusions, and effective claims handling practices.
~ Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise.
~ ability to use business technology tools to effect Provincial insurance adjusting license (where applicable) and ongoing satisfaction of any necessary continuing education requirements.
~ In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with provincial and Travelers requirements.
~ Generally, License(s) are required to be obtained within three months of starting the job.

High School Degree or GED required with a minimum of 3 years claim handling experience.
Experience utilizing computer technology; such as Microsoft Office, e-mail, Web-enabled applications, and database software.
Licensing Required: In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with provincial and Travelers requirements.
Employees and their eligible family members – including spouses, partners, and children – are eligible for coverage from the first day of employment.
Retirement: You will also receive twelve paid company Holidays.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. We are committed to providing accommodation to persons with disabilities. We have 10 diversity networks, employee-led organizations dedicated to fostering the development and success of our employees.
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Employees and their eligible family members – including spouses, domestic partners and children – are eligible for coverage from the first day of employment.
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