Claims Coordinator

1 week ago

Edmonton Alberta, Edmonton region, Canada Alberta Municipalities | Strength in Members Full time

Reporting to the Director, Claims, the Claims Coordinator is responsible for the administrative aspects of the claims department including, but not limited to, assisting the Director, Claims with daily operations; setting up new claims; administering the Origami system; assisting examiners; member enquiries; running analytics for loss histories; and maintaining customer databases. This role will also be responsible for processing claims payments, as well as monitoring excess and auto claims.

Know-How

Practical / Technical Knowledge

  • High School Diploma
  • Chartered Insurance Professional (CIP) designation is an asset.
  • 3-5 years of administration in an insurance claims environment.
  • Proficient with Microsoft Office Suite.

Planning, Organizing, and Integrating

  • Very detail-oriented to ensure claims are investigated thoroughly.
  • Highly organized and a proven ability to prioritize effectively, comply with deadlines, and to work concurrently on a variety of tasks in a busy office environment.
  • Superior ethics and adherence to strict confidentiality requirements.
  • Initiative for achieving service excellence, innovation, and continuous improvement.
  • Proven ability to work effectively both independently and in a team-based environment.
  • Continuously seeks to stay current and be at the leading edge in their field.

Communicating and Influencing Skills

  • Ability to stay calm and collected in dealing with stressful claims situations.
  • Proven ability to develop strong relationships with staff, plan members, key partners and service providers and provide sound guidance on emerging issues, escalating as required.
  • Effective written and verbal communication skills.


Responsibilities

  • Assist Claims team with the daily operations of the claims department including file preparation and documentation.
  • Confirm the nature, potential exposure and validity of the new claim, and enter claim details into the Origami system.
  • Choose the appropriate independent adjuster to handle the claims.
  • Confirming scope and coverage of current claims submissions and determine whether there is a basis for further action.
  • Develop and maintain effective ongoing relationships with members, and ensure they receive timely and accurate responses to inquiries regarding the status of their claims.
  • Maintain a thorough understanding of the Municipal Government Act and the defenses available.
  • Generate loss reports as required for the Director, Claims.
  • Improve processes and procedures as required.
  • Maintain effective customer service, ensuring that all communications are handled with the utmost of professionalism.
  • Oversee program claims from program insurers
  • Maintain a working knowledge of the Municipal Government Act
  • Set up an abeyance system for all pending claims.
  • Review and process payment requests.
  • Provides claims advice to members on opening claims.
  • Perform other administrative duties as required.

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