Claims Administration Specialist
4 weeks ago
Echelon Insurance is dedicated to providing tailored Personal and Commercial Specialty Insurance solutions that safeguard Canadian families and businesses through our esteemed network of Broker partners. As a proud member of the CAA Club Group of Companies, we are an equal opportunity employer committed to fostering a professional environment that promotes collaboration, trust, and growth to achieve success. Our workplace culture is designed to support our associates, Brokers, and Customers effectively.
About UsAt Echelon, we are poised to advance your career. Our work environment is dynamic, performance-oriented, and fulfilling. We prioritize our Associates' professional development and consistently acknowledge their achievements and exceptional results.
We embody care, leadership, innovation, and collaboration.
We balance hard work with enjoyment, focusing on integrity and satisfaction in our roles.
- Oversee administration related to documented internal control protocols.
- Maintain, update, and modify established program administrative controls as necessary.
- Assist in the establishment, documentation, updating, and verification of compliance with contractual service and performance benchmarks.
- Manage monthly claims accrual processes and ensure reconciliation with finance and senior management reporting.
- Handle activities related to active claims service agreements.
- Process new claims across various systems, ensuring accurate data entry and logging in claims records.
- Develop and maintain a resource library containing materials pertinent to specialty insurance and program business, including claims reporting and handling procedures, contracts, policy wording, and underwriting guidelines.
- Act as a liaison for the claims department with both internal and external auditors.
- Facilitate communication between underwriting, brokers, claims service providers, vendors, and other stakeholders.
- Administer specialty programs, including initial evaluations concerning claims processing.
- Proactively manage the Claim Audit Program Schedule, ensuring timely updates and current status tracking.
- Prepare and disseminate monthly, quarterly, and annual claims reports to internal associates, third-party administrators, brokers, and external adjusters.
- Conduct regular analyses and reporting on individual programs, division performance, trends, and patterns.
- Review and report on adherence to established key performance indicators measuring service and performance.
- Analyze and report on vendor-related loss adjustment expenses.
- Assist with recovery requests and demand letters under supervision.
- Track early recovery efforts through confirmed estimates and adapt notes for pending payment approvals.
- Support technical services for estimate tracking and invoice payment confirmation under guidance.
- Preferred completion of post-secondary education.
- Strong organizational skills with a keen attention to detail and a commitment to quality.
- Exceptional communication skills (both oral and written), with a focus on strong business writing.
- Excellent interpersonal, analytical, decision-making, and problem-solving abilities.
- CIP designation or progress towards completion is preferred.
- Prior experience in claims administration is advantageous.
- Knowledge and proficiency in Microsoft Power BI is beneficial.
- Experience in managing specialty claims programs is a plus.
- Competitive compensation and benefits package.
- Annual shared success program based on performance metrics.
- Annual merit increases contingent on performance evaluations.
- Defined Contribution Pension Plan with a matching contribution feature.
- Complimentary CAA Membership.
We are an equal opportunity employer dedicated to providing employment accommodations in accordance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act, 2005 (AODA). Echelon Insurance will ensure accommodations for job applicants with disabilities throughout the recruitment process. If you require accommodations, please inform us, and we will collaborate with you to meet your needs.
As a safety-focused organization, we prioritize the health and well-being of our Associates. Therefore, full vaccination is a requirement for employment.
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