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Specialist, Claims Administration

3 months ago


Mississauga, Canada Morguard Full time

PURPOSE

The Specialist, is accountable to the Manager, Claims Administration for timely and accurate administration, analysis and reporting of insurance claims to ensure that company's insurance related risks are identified effectively and proactively during the claims process.

DUTIES AND RESPONSIBILITIES

  1. Accident Investigation and Reporting
    Reviews incident reports from various properties on a regular basis and works with property management teams across portfolios to identify the root cause of incidents and determine level of investigation required to ensure that incidents and claims data are reported consistently, accurately and in accordance with existing claims protocol and incident-related risks are mitigated by preventative measures.
  2. Insurance Claim Management
    Administers insurance claims for all assets and assists with responding to claim-related inquires, strategies including corresponding with Property Managers, Adjusters, solicitors, and Insurers with regards to file status to ensure accuracy and timeliness of the claim processing process.
  3. Environmental Claim Support
    Assists the Environmental Affairs Department with all existing environmental claims including monitoring payments and requesting reimbursement from Insurers to make sure that claims are administered accurately, timely and in accordance with effective insurance policies.
  4. Claim Reporting
    Assists in preparation of claims-related reporting, analysis of claims data, generating of various risk management reports as required, complete quarterly Property Receivable Account, analyzing and producing claims renewal reports to ensure accurate and consistent tracking and analysis of all claims related data for the continuous improvement effort at property level.
  5. Claim Financials
    Processes complex claim payments on a timely basis and ensures all payments are accurately entered into the claims system; in consultation with Manager, Claims Administration advises adjusting firm and the legal entity with regards to any final release of payments, tracks financial settlement of claims both below and above established deductibles.
  6. Claim Management Service
    Provides expert knowledge and serves as the first point of contact for all incoming claim management related inquiries. Coordinates with Manager, Claims for solutions to inquiries of medium to high complexity.

Any other job related duties and/or projects that may be assigned.

MINIMUM REQUIREMENTS
Skills, Knowledge, Experience and Education

  • Bachelor's degree or College diploma in related field or an equivalent relevant experience
  • 3-5 years of multi-line claims experience with focus on commercial property and liability claims
  • CIP, CRM or working towards completion.
  • Solid knowledge of MS Office applications.

Core Competencies

  • Excellent communication skills both verbal and written.
  • Robust problem-solving skills and creative thinking
  • Solid analytical skills
  • Strong ability to prioritize correctly and flexibility to change priorities frequently in accordance with business needs.
  • Excellent time management and organizational skills
  • Ability to multi-task and deliver quality results under pressure and within tight deadlines.
  • Work independently or with minimal supervision
  • Results-oriented
  • Ability to facilitate collaboration between multiple stakeholders.
  • Influential decisions to mitigate risk

Additional Requirements

  • Advanced knowledge of Excel
  • PowerBI knowledge an asset