Claims Specialist
7 days ago
We are seeking a highly skilled Claims Specialist to join our team at Sécurité Nationale Compagnie d'Assurance. As a Claims Specialist, you will be responsible for investigating, evaluating, and resolving complex claims for high net worth clients.
Key Responsibilities- Investigate and evaluate complex claims, including those involving litigation and environmental issues
- Meet with clients and witnesses to obtain statements and negotiate claims
- Apply claims management principles and procedures to manage claims costs and leakage
- Identify potential fraudulent claims and handle them according to organizational processes and procedures
- Work with claim management vendors to maintain service standards
- Act as a subject matter expert in claims management to increase knowledge base within the team
- Support the timely and accurate completion of business processes and procedures
- Protect the interests of the organization by identifying and managing risks, and escalating non-standard, high-risk transactions and activities as necessary
- Ensure documentation is accurate and properly reflects client and business intentions, and is consistent with relevant rules and regulations
- Actively manage relationships within and across various business lines, corporate, and control functions, and ensure alignment with enterprise and regulatory requirements
- Ensure necessary due diligence to support the accuracy of all customer transactions and activities
- Keep abreast of emerging issues, trends, and evolving regulatory requirements, and assess potential impacts
- Maintain a culture of risk management and control, supported by effective processes in alignment with risk appetite
- Assume responsibility to minimize operational and regulatory risk by complying with Bank and industry Code of Conduct
- Participate fully as a member of the team, support a positive work environment that promotes service to the business, quality, innovation, and teamwork, and ensure timely communication of issues and points of interest
- Provide thought leadership and/or industry knowledge for own area of expertise, and participate in knowledge transfer within the team and business unit
- Keep current on emerging trends and developments, and grow knowledge of the business, related tools, and techniques
- Participate in personal performance management and development activities, including cross-training within own team
- Keep others informed and up-to-date about the status and progress of projects and/or all relevant or useful information related to day-to-day activities
- Contribute to team development of skills and capabilities through mentorship of others, by sharing knowledge and experiences, and leveraging best practices
- Lead, motivate, and develop relationships with internal and external business partners/stakeholders to develop productive working relationships
- Contribute to a fair, positive, and equitable environment that supports a diverse workforce
- Act as a brand ambassador for your business area/function and the bank, both internally and/or externally
- Excellent verbal and written communication skills
- Superior client service orientation
- Ability to work independently while supporting a team environment
- Demonstrated ability to function effectively in a fast-paced, multi-faceted environment, and possess excellent organizational and time management skills
- Strong typing and computer skills
- 5-7 years of insurance claims experience, with a focus on property claims
- Experience dealing with more complex and larger loss insurance claims is required
- Experience in handling liability claims is preferred
- Experience with and understanding of the high net worth market segment is preferred
- Valid driver's license and satisfactory MVR is required for field positions
- Travel primarily within the Greater Montreal area will be required, with flexibility to travel to other parts of the province of QC as needed
- CIP/FCIP designation is considered an asset
- AMF claims adjusting license is required
- Proficient bilingualism in English and French is required
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