Senior Claims Assessor

1 week ago

Montreal, Quebec, Canada Allianz Trade in North America Full time
Job Purpose: The main tasks of the role are to define company's liability (assessment) according to contractual provisions. The Senior Claims Assessor is responsible for processing claims received and allocation of recoveries, managing a portfolio of claims and maintaining an appropriate service level per segment which supports customer satisfaction objectives. He/she analyzes and reviews claims for accuracy, completeness and eligibility, and prepares and maintains reports and records for processing.

Key Responsibilities/What You Do:

- Review and analyze claim submission for validity and coverage analysis to determine /assess liability to the company
- Carry out all checks relating to policy conditions, risks information and debt aspects
- Require, if necessary, additional documents / information directly to the policyholder/ broker
- Inform the policyholders/ brokers of the status of the claim (assessed, settled),
- Handle possible appeals (complaints) from the policyholders/ brokers
- In case of non-inclusive collection, liaise with Collections to assess policyholders' collection efforts and compliancy with obligations under policy
- Answer Collections requests/ authorizations
- Strictly enforce the policy wording and reach out to MMCD for commercial considerations
- Apply commercial gestures decided by Commercial department and liaise with Commercial in case of contractual question.
- Develop and maintain good relationships with policy holders and brokers by understanding their business and responding promptly to their questions
- Manages Claims Helpdesk inbox
- Manages International cases – exports collection. Conduit between BBU and clients
- Compass/IMX/ATO testing requirements
- Financial dispositions of payments from debtor via cheque or wire method
- Review micro-strategies reports for C&C for internal and external users

Key Requirements/What You Bring:

- Bachelor's Degree in Business Administration or a relevant field.
- 5-10 years' experience in claims assessment with insurance company
- Excellent communication skills in French and English, both spoken and written
- Strong working knowledge of Excel, Work and PowerPoint
- Excellent knowledge of policies, contract law and local insolvency
- Excellent knowledge of claims settlement processes and systems
- Excellent knowledge of collections process
- Excellent knowledge of quality standards and claims and collection operational guidelines

Allianz Trade in Canada, welcomes all applicants with disabilities and accommodations are available upon request.

Allianz Trade in Canada, is an equal opportunity employer that does not discriminate on the basis of; race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity, gender expression, age, marital status, family status or disability.

We thank all applicants for their interest however, only those candidates selected for an interview will be contacted.

Allianz Trade is the trademark used to designate a range of services provided by Euler Hermes.

Objectif du poste: les principales taches du poste consistent à définir la responsabilité de l'entreprise (évaluation) selon les dispositions contractuelles. Le responsable principal des sinistres est chargé du traitement des demandes de règlement reçues et de l'allocation des recouvrements, de la gestion d'un portefeuille de sinistres et du maintien d'un niveau de service approprie par segment afin de soutenir les objectifs de satisfaction de la clientèle. Il/elle analyse et examine les demandes de règlement pour en vérifier l'exactitude, l'exhaustivité et l'éligibilité, et prépare et tient à jour des rapports et des dossiers en vue de leur traitement.

Responsabilités / Ce Que Vous Ferez:

- Passer en revue et analyser les demandes de règlement pour déterminer la validité et la couverture, afin d'évaluer la responsabilité de l'entreprise
- Effectuer toutes les vérifications liées aux conditions de la police, aux informations sur les risques et aux aspects lies aux créances
- Demander, si nécessaire, des documents/informations supplémentaires directement au titulaire de la police/courtier
- Informer le titulaire de la police/courtiers de l'état de la demande de règlement (évaluée, réglée)
- Traiter les éventuels appels (plaintes)du titulaire de la police/courtiers
- En cas de recouvrement non inclus, collaborer avec le service de recouvrement pour évaluer les efforts de recouvrement des titulaires de police et la conformité aux obligations prévues par la police
- Répondre aux demandes/autorisations de recouvrement
- Appliquer strictement les termes de la police et consulter le département commercial pour les considérations commerciales
- Appliquer les gestes commerciaux décide par le département commercial et collaborer avec le service commercial en cas de question contractuelle
- Développer et maintenir de bonnes relations avec les titulaires de police et les courtiers en comprenant leur activer et en répondant rapidement à leurs questions
- Gérer la boite de réception du service d'assistance aux demandes de règlement
- Gérer les cas internationaux – recouvrement des exportations. Faire le lien entre BBU et les clients
- Exigence de test pour Compass/IMX/ATO
- Disposition financière des paiements du débuter par chèque ou virement
- Passer en revue les rapports de stratégies pour C&C (Crédit et recouvrement) pour les utilisateurs internes et externes

Exigences /Ce Que Vous Apportez:

- Baccalauréat en administration des affaires ou dans un domaine pertinent
- 5 à 10 ans d'expérience dans l'évaluation des sinistres auprès d'une compagnie d'assurance
- Excellentes compétences en communication en français et en anglais, a l'oral et a l'écrit
- Solide connaissance pratique d'Excel, de Word et de PowerPoint
- Excellente connaissance des polices d'assurance, du droit des contrats et de l'insolvabilité locale
- Excellente connaissance des processus et systèmes de règlement des sinistres
- Excellente connaissance du processus de recouvrement
- Excellente connaissance des normes de qualité et des lignes directrices opérationnelles en matière de sinistres et de recouvrement

Allianz Trade au Canada accueille tous les candidats handicapés et des aménagements sont disponibles sur demande.

Allianz Trade au Canada est un employeur offrant des chances égales qui ne fait aucune discrimination fondée sur la race, l'ascendance, le lieu d'origine, la couleur, l'origine ethnique, la citoyenneté, la croyance, le sexe, l'orientation sexuelle, l'identité de genre, l'expression de genre, l'âge, l'état matrimonial, l'état familial ou le handicap.

Nous remercions tous les candidats de leur intérêt, cependant, seuls les candidats sélectionnés pour une entrevue seront contactés.

Allianz Trade est la marque utilisée pour désigner une gamme de services fournis par Euler Hermes

  • Senior Claims Assessor

    1 week ago

    Montreal, Quebec, Canada Allianz Life Insurance Full time

    Job Purpose: The main tasks of the role are to define company's liability (assessment) according to contractual provisions. The Senior Claims Assessor is responsible for processing claims received and allocation of recoveries, managing a portfolio of claims and maintaining an appropriate service lev

  • Senior Claims Assessor

    1 week ago

    Montreal, Quebec, Canada Allianz Trade in North America Full time

    Job Purpose: The main tasks of the role are to define company's liability (assessment) according to contractual provisions. The Senior Claims Assessor is responsible for processing claims received and allocation of recoveries, managing a portfolio of claims and maintaining an appropriate service le

  • Senior Claims Assessor

    1 week ago

    Montreal, Quebec, Canada Allianz Popular SL. Full time

    Job Type: Full-Time Remote Job: Hybrid working Employment Type: Temporary ID: 48752 n.a. Senior Claims Assessor - Contract Job Purpose: The main tasks of the role are to define company's liability (assessment) according to contractual provisions. The Senior Claims Assessor is responsible for processing claims received and allocation of...

  • Senior Claims Assessor

    1 week ago

    Montreal, Quebec, Canada Allianz Popular SL. Full time

    Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Area of Expertise: Customer Services & Claims Job Type: Full-Time Employment Type: Temporary ID: 48752 Job Purpose: The main tasks of the role are to define company's liability (assessment) according to...

  • Individual Claims Assessor – 27519

    1 week ago

    Montreal, Quebec, Canada The Emerald Group Full time

    As a Life and Health Claims Assessor, you will provide fair and balanced claims decisions within industry guidelines. Speed and quality claims decisions are essential using the appropriate amount of evidence necessary. Their product range includes Life, Critical Illness, Income Protection, TPD, Business Protection and Waiver of Premium.Location: WFHCategory:...

  • Claims Specialist

    1 week ago

    Montreal, Quebec, Canada Opta Full time

    We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. The Loss Control Specialists review various properties on behalf of insurance companies and provide loss prevention recommendations...

  • Senior Counsel, Claims Litigation NEW

    3 weeks ago

    Montreal, Quebec, Canada Definity Financial Corporation Full time

    What Can You Expect in This Role?Act as senior legal counsel in claims litigation matters for mid to high complexity files, which includes attending at trials and appeals, contested motions, cross-examinations, examinations for discovery and mediations, preparing court documents, reviewing and analyzing evidence, interviewing witnesses, conducting...

  • Senior Counsel, Claims Litigation NEW

    2 months ago

    Montreal, Quebec, Canada Definity Financial Corporation Full time

    What Can You Expect in This Role?Act as senior legal counsel in claims litigation matters for mid to high complexity files, which includes attending at trials and appeals, contested motions, cross-examinations, examinations for discovery and mediations, preparing court documents, reviewing and analyzing evidence, interviewing witnesses, conducting...

  • Senior Claims Examiner

    1 week ago

    Montreal, Quebec, Canada the Ladders Full time

    Company: Sovereign InsuranceDepartment: ClaimsEmployment Type: Regular Full-TimeWork Model: HybridLanguage: Bilingualism in English and French is requiredThe Opportunity:As a wholly owned subsidiary of the Cooperators General Insurance company, Sovereign Insurance believes your experience matters.

  • Director, Claims

    1 week ago

    Montreal, Quebec, Canada Intact Financial Corporation Full time

    JOB DESCRIPTION Our employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are– here, diversity is a...

  • Director - Construction Claims & Disputes

    1 week ago

    Montreal, Quebec, Canada LVI Associates Full time

    LVI are seeking a senior professional with a strong background in claims, dispute and expert services to assist clients on complex construction issues and provide expert advice in delay, quantum and disruption matters in the engineering & construction industryRequirements:10+ years experience in

  • Director - Construction Claims & Disputes

    1 week ago

    Montreal, Quebec, Canada Lviassociates Full time

    LVI are seeking a senior professional with a strong background in claims, dispute and expert services to assist clients on complex construction issues and provide expert advice in delay, quantum and disruption matters in the engineering & construction industry.Requirements:10+ years experience in engineering and/or construction management.8+ years experience...

  • Director - Construction Claims & Disputes

    1 week ago

    Montreal, Quebec, Canada LVI Associates Full time

    LVI are seeking a senior professional with a strong background in claims, dispute and expert services to assist clients on complex construction issues and provide expert advice in delay, quantum and disruption matters in the engineering & construction industry.Requirements: 10+ years experience in engineering and/or construction management. 8+ years...

  • Accounting Specialist- Claims

    3 weeks ago

    Montreal, Quebec, Canada Intact Full time

    Our employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are– here, diversity is a strength. You have...

  • Accounting Specialist- Claims

    1 month ago

    Montreal, Quebec, Canada Intact Full time

    Our employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are– here, diversity is a strength. You have...

  • Accounting Specialist- Claims

    1 week ago

    Montreal, Quebec, Canada Intact Full time

    Our employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are– here, diversity is a strength. You have...

  • CA- Expert en sinistres habitation sénior bilingue/ Senior Bilingual Property Claims Adjuster

    1 week ago

    Montreal, Quebec, Canada Crawford & Company Full time

    Position Summary We are currently looking for a Senior Bilingual Property Claims Adjuster to join our Montreal, Quebec branch. Responsibilities Assesses property damage claims (commercial and residential) and miscellaneous risks by conducting loss investigations and negotiating settlements in accordance with provincial licensing requirements, while...

  • Senior Customer Service Representative

    1 week ago

    Montreal, Quebec, Canada National Bank Full time

    Working as a senior call centre representative means collecting, analyzing and interpreting information in order to assist clients with their insurance underwriting and claims processes (disability, death, critical illness). Come join our teams in the Insurance Underwriting and Claims Assistance Ce

  • Claims Call Centre Representative

    1 week ago

    Montreal, Quebec, Canada Zurich Insurance Full time

    The Opportunity- Are you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global insurance provider in the world? Look no further than Zurich Canada.If you have administrative experience and are looking for a new challenge, we...

  • Senior Customer Service Representative

    1 week ago

    Montreal, Quebec, Canada National Bank Full time

    Senior Call Centre Representative - Insurance Underwriting and Claims Assistance Centre Are you ready to make a difference in people's lives by joining our team as a senior call centre representative? In this role, you will be responsible for collecting, analyzing, and interpreting information to assist clients with their insurance underwriting and claims...