Claims Specialist

6 months ago

Edmonton, Canada CMB Insurance Brokers Full time

Reporting to the VP Operations and in conjunction with the VP Sales, the Claims Specialist is responsible for developing claims programming, training and supervising claims activities at CMB. They will develop and uphold high standards for claims reporting, management and driven to train and mentor and deliver creative solutions to protect client operations.

**ESSENTIAL FUNCTIONS & RESPONSIBILITIES**
- Review and advise on claims service reports, trends and KPIs
- Assist with specialized claims defense programs (Slip & Fall, Incident RPTS) for clients
- Assist with claims training development and facilitations
- Report claims to insurance companies when report received from clients or client representatives
- Create claims file and track claim progress utilizing systems in use by CMB Insurance Brokers
- Ensure that claims files are maintained on the CMB Insurance Brokers systems (TAM)
- Follow up on open claims with all parties to facilitate the closing of the claim, work with the sales & service teams to establish a course of action when necessary
- Mediate claims on behalf of clients when necessary
- Coordinate emergency response teams, first report of incident and the setting up claims files
- Establish and maintain working relationships with insurer claims departments in order to facilitate open claims
- Establish and maintain a working relationship with independent adjusting firms and vendors

**CLAIMS ADMINISTRATION**
- Review policy wording and coverage for CMB clients
- Review and document recommendations for claim disposition, including evaluation, negotiation and settlement of claims.
- Provide oversight and guidance for claims administration for US and Canadian incidents
- Work with the Risk Management department to establish and monitor claims reserves on large accounts to ensure adequate funding levels are maintained and aggregate limits are not breached
- Obtain quarterly reports from all insurers to prepare and distribute quarterly ageing reports, reserve adjustments, and loss ratios
- Establish and maintain performance metrics to demonstrate efficiencies of the department, such as number of claims compared to total claims cost year over year, claims loss development year over year, average time taken to open and close claims year over year.
- Monthly Reporting as attached & Other duties to be determined

**TEAM SUPPORT**
- Take all steps to avoid Errors & Omissions, and report any potential E&O to the VP Operations
- Report all potential bad debts to the VP Operations
- Be familiar with, and follow, company policies and procedures as established (Employee Handbook, Renewal Procedure, Claims Procedures, Collections and AR Procedures, etc)
- Attend and participate in staff meetings and company functions

**REPORTING REQUIREMENTS**
- Monthly reporting
- Total Claims by Agent, by Department, by Age of Claim
- Average Close time by Type of Claim
- Open Claims by Customer, by type of loss, by insurance company: All sorted by department
- New Claims by Customer, by type of loss, by insurance company: All sorted by department
- Closed Claims by Customer, by type of loss, by insurance company: All sorted by department

**Knowledge and Skills**:

- 10+ years claims experience including management and litigation
- Experience with Downtime, Cargo, CGL, Cyber and large property claims
- Experience with Bodily Injury and BI claims with understanding of WCB legislation
- Understanding of litigation options under Tort Law
- Experience with Quantum and Liability negotiations, and investigations
- Experience with The Agency Manager, Policy Works, Microsoft Office Suite or comparable computer systems
- Experience with the Renewal Process, Accounts Receivable Process
- Experience in career planning and team development desirable

**Education Requirements**:

- Licensed Level 2 Insurance Agent desirable
- Completion of FCIP, CIP, CRM or CAIB designation or equivalent desirable
- **This job operates in a professional office environment. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.**_

**Job Types**: Full-time, Permanent

**Salary**: From $60,000.00 per year

**Benefits**:

- Company events
- Dental care
- Disability insurance
- Life insurance
- On-site parking
- Tuition reimbursement
- Vision care

Schedule:

- Monday to Friday

Application question(s):

- Do you have your Alberta Level 2 Insurance License?
- Do you have your FCIP, CIP, CRM or CAIB designation?

Work Location: In person

  • Claims Adjuster

    3 months ago

    Edmonton, Canada Curo Claims Services Inc. Full time

    **Company Description** With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us. At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they do,...

  • Insurance Claims Specialist

    6 days ago

    Edmonton, Alberta, Canada CMB INSURANCE] Full time

    Job SummaryWe are seeking an experienced Insurance Claims Specialist to join our team at CMB Insurance. The successful candidate will be responsible for handling insurance claims in a physical office setting, ensuring timely and accurate processing.

  • Claims Relationship Solutions Specialist

    1 month ago

    Edmonton, Alberta, Canada Intact Financial Corporation Full time

    Role OverviewAs a Claims Relationship Solutions Specialist at Intact Financial Corporation, you will play a key role in managing the internal and external claims relationship for Commercial and Specialty Lines, as well as some Personal Lines claims and underwriting.This exciting opportunity is perfect for individuals with technical claims expertise within a...

  • Claims Specialist Senior

    2 weeks ago

    Edmonton, Alberta, Canada Intact Full time

    About the RoleWe are seeking a seasoned Senior Claims Specialist to join our National Surety Claims Department at Intact. As a key member of our team, you will play a vital role in handling complex surety claims and overseeing the work of junior staff.Job DescriptionIn this challenging and rewarding position, you will be responsible for assessing coverage,...

  • Claims Advocate

    6 months ago

    Edmonton, Canada CMB Insurance Brokers Full time

    Reporting to the Claims Specialist and in conjunction with the VP Operations, the Claims Advocate is responsible for reporting claims on behalf of CMB Insurance Brokers as well as internal and external investigation of losses to determine tort and DCPD liability and to coordinate the management of all claims arising from losses. Also responsible for...

  • Insurance Claims Resolution Specialist

    4 weeks ago

    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    We are seeking a skilled Insurance Claims Resolution Specialist to join our team at Peace Hills Insurance. This role is based out of our office and involves investigating, negotiating, and settling claims.Job SummaryThis position requires strong analytical and negotiation skills to effectively manage a portfolio of casualty claims. The successful candidate...

  • Claims Liability Specialist

    4 weeks ago

    Edmonton, Alberta, Canada Intact Financial Corporation Full time

    Role OverviewWe're seeking a Claims Liability Specialist to join our team, responsible for analyzing and interpreting insurance policy wording to determine coverage and assess entitlements. The ideal candidate will have a minimum of 2 years of experience handling liability claims, excellent analytical and decision-making skills, and strong communication and...

  • Claims Specialist

    4 weeks ago

    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    We are seeking an experienced Property Claims Advisor to join our team at Peace Hills Insurance. As a valued member of our claims department, you will play a critical role in evaluating and settling claims arising under personal lines, commercial policies, and other related coverage.About the RoleThis is a full-time, permanent position based in our office...

  • Claims Support Specialist

    4 weeks ago

    Edmonton, Alberta, Canada Intact Financial Corporation Full time

    We are seeking a skilled Claims Support Specialist to join our team at Intact Financial Corporation. As a key member of our insurance defence litigation group, you will provide administrative support and play a crucial role in managing the day-to-day activities of our lawyers.About the RoleAs a Claims Support Specialist, you will be responsible for:Providing...

  • Claims Specialist

    4 weeks ago

    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    At Peace Hills Insurance, we are currently seeking a highly skilled Bodily Injury Claims Advisor to join our team. This role is based out of our office and involves investigating, negotiating, and settling claims.Job DescriptionThe ideal candidate will have experience in an Accident Benefits and Bodily Injury role, supplemented with post-secondary education...

  • Claims Administrator

    6 months ago

    Edmonton, Canada Marigold Infrastructure Partners DBJV Full time

    With pride, Marigold Infrastructure Partners, in collaboration with Colas and Parsons, has been entrusted by the City of Edmonton to oversee the construction of the Valley Line West LRT, spanning 14 kilometers from downtown to Lewis Farms. This ambitious project is now underway and is anticipated to be completed within a timeframe of five to six years. The...

  • National Property Claims Examiner

    4 months ago

    Edmonton, Canada Aviva Full time

    Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values – Care, Commitment, Community, and Confidence. We are currently looking to hire an National Property Claims Examiner to join our National Property Claims team. In this role, you will be responsible for both the oversight and...

  • Property Claims Examiner

    4 weeks ago

    Edmonton, Alberta, Canada Aviva Full time

    Company OverviewAviva is a leading insurance company that values flexibility and collaboration. Our team works together to provide outstanding customer service while controlling indemnity spend and expenses.Job SummaryWe are seeking a Property Claims Examiner - Adjuster to join our National Property Claims team. In this role, you will be responsible for the...

  • Property Claims Specialist

    4 weeks ago

    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    Job DescriptionWe are seeking an experienced Property Claims Advisor to join our team at Peace Hills Insurance. As a Property Claims Advisor, you will be responsible for evaluating, negotiating, and settling claims arising under personal lines, family, and commercial policies.Key Responsibilities:Evaluate claims information to determine coverage and...

  • Auto Claims Specialist

    4 weeks ago

    Edmonton, Alberta, Canada Sécurité Nationale Compagnie d'Assurance Full time

    We are seeking a highly skilled Auto Claims Advisor to join our team at Sécurité Nationale Compagnie d'Assurance. As an experienced professional in claims handling, you will play a vital role in providing exceptional customer service and ensuring seamless claim resolutions.About the RoleIn this dynamic position, you will be responsible for facilitating and...

  • Insurance Claim Specialist

    10 hours ago

    Edmonton, Alberta, Canada DGA Careers Full time

    At DGA Careers, we're committed to delivering top-notch insurance recruiting services to major insurers and insurance brokerage firms in Canada.We're currently seeking an experienced Casualty Claims Adjuster to join our dynamic team. This is a full-time opportunity for the right candidate who can handle complex casualty claims with ease.About the...

  • Specialist, Property Claims

    6 months ago

    Edmonton, Canada Definity Financial Corporation Full time

    Job ID : 7039 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Edmonton, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back...

  • Claims Specialist

    6 months ago

    Edmonton, Canada Colas Canada Full time

    **Experience Required**: Post-secondary education in Civil Engineering, law, project management, or relevant program; or five years+ related experience and/or training; or equivalent combination of education and experience Recent construction work experience required Proven attention to detail for claim writing in compliance with the contract Organization...

  • Claims Specialist

    6 months ago

    Edmonton, Canada Colas Full time

    **Experience Required**: - Post-secondary education in Civil Engineering, law, project management, or relevant program; or five years+ related experience and/or training; or equivalent combination of education and experience - Recent construction work experience required - Proven attention to detail for claim writing in compliance with the contract -...

  • Specialist, Claims- Property New

    6 months ago

    Edmonton, Canada Definity Financial Corporation Full time

    Job ID : 7255 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Edmonton, Canada Posting Range : $55,800 - $102,800 Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and...