Claims Specialist

2 weeks ago


Toronto, Canada Humans of HR Full time

Introducing Humans of HR, a boutique recruitment agency rapidly establishing itself as the premier choice for sourcing and placing highly skilled Professionals. With an expansive network and an unwavering commitment to customer satisfaction, we stand out as the definitive partner in guiding you towards your next career milestone.
Are you ready to embark on a career where your analytical prowess meets your passion for problem-solving? We're seeking an Exceptional Claims Specialist to join our client's dynamic team. As a Claims Specialist, you'll play a pivotal role in ensuring seamless claim processing, leveraging your keen eye for detail and sharp analytical skills to drive optimal outcomes for our clients.

Responsibilities:

Serve as a primary point of contact for handling and adjudicating a diverse range of insurance claims.
Conduct thorough investigations and analyses of claims to determine coverage eligibility and appropriate settlements.
Collaborate closely with internal teams, external stakeholders, and legal counsel to facilitate timely and fair claim resolutions.
Prepare comprehensive documentation, reports, and correspondence related to claim assessments and decisions.
Utilize advanced data analytics techniques to identify emerging claim trends and opportunities for process improvements.
Champion customer satisfaction by providing exceptional service and support throughout the claims lifecycle.
Actively participate in continuous learning and development initiatives to stay abreast of industry trends and best practices.
Contribute innovative ideas and strategies to enhance the efficiency and effectiveness of the claims management process.

Requirements:

Bachelor's degree in Business, Finance, Insurance, or related field.
Minimum of 3 years of experience in claims analysis or related roles within the insurance industry.
Exceptional communication skills, both verbal and written, with a knack for conveying complex information in a clear and concise manner.
Proven ability to multitask, prioritize assignments, and thrive in a fast-paced, deadline-driven environment.
Demonstrated aptitude for problem-solving and decision-making, with a meticulous attention to detail.
Commitment to upholding the highest standards of integrity, ethics, and professionalism.

Preferred Qualifications:

Industry certifications if any.
Experience working with claims management systems.
Familiarity with regulatory requirements and compliance standards in the insurance industry.
Track record of delivering measurable results and driving continuous improvement initiatives.
Passion for delivering exceptional customer service and building strong client relationships.

On offer is a very attractive base salary, Bonus, RSSP and time off.

At Humans of HR, we are committed to nurturing the growth and development of our candidates, aiding them in reaching their full potential. If you envision the above role as your next career move, kindly submit your resume and a confidential cover letter. One of our consultants will be in touch for a confidential discussion.


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