Senior Claims Analyst

2 weeks ago

Toronto, Ontario, Canada BGIS Full time

About the Role

The Senior Claims Analyst at BGIS plays a crucial role in managing a wide range of advice and services related to claims for compensation, reparation, restitution, or any other remedy for financial loss or breach of contractual obligation.

Key Responsibilities

  • Oversee the processing of insurance claims to ensure the procedure is handled efficiently, accurately, and in a manner that protects the interests of the insured parties.
  • Serve as a liaison between clients, adjusters, service providers, and other parties involved in a claim or incident related to it.
  • Claims File Management, including claim reporting, monitoring, collection of data, and resolution of claims.
  • Review moderate to large claim files with internal/external stakeholders, including brokers, insurers, adjusters, legal, and account leadership.
  • Review and analyze Third Party Adjuster and external reports to ensure proper disposition of claims.
  • Lead and participate in special projects within the risk management department.
  • Identify strategic opportunities based on financial analysis and projections, cost/benefit identification, and analysis.
  • Provide technical guidance to staff on claim investigation, reserving evaluation, and resolution of claims.
  • Responsible for implementing best practices based on company goals.
  • Manage all aspects of the day-to-day operations of claims production.
  • Interact extensively with various parties involved in the claim process.
  • Remain current on tort reform and aware of its impact on claims management strategies.
  • Apply appropriate interventions and follow up on identified projects.
  • Collaborate with other Claims and business leaders to define and drive enterprise initiatives.
  • Assist or prepare files for lawsuit, trial, or subrogation.
  • Manage complex general liability, automobile, US workers' compensation claims, both litigated and non-litigated.
  • Conduct annual plan and budget preparation under guidance provided by leadership.

Reporting and Communication

  • Prepare and analyze claims reports, and all financial information associated with claims management, including reconciling reserves and payments.
  • Prepare and present analytical reports on claims status, claim trends, and impact for management, including recommendations, and technical guidance.
  • Develop and implement new/revised claims handling/best practices process improvements.
  • Develop and deliver training sessions to client accounts/managers on new client onboarding.
  • Develop communication on claims.

Insurance

  • Support the Risk Manager on insurance renewal application process for Canada and the US.
  • Support the facilitation of insurance certificate preparation and distribution.

Incident Management

  • Support the continued development of the BGIS' incident management program, including the development and implementation of control enhancements for significant risk events.
  • Monitor and communicate out on key risk incidents to increase awareness across the organization.

Other

  • Support the Risk Management leadership with ad hoc requests.

Requirements

  • Greater than 5 years of relevant working experience.
  • Insurance - 5 years in the insurance industry or equivalent.
  • Ability to interact at all levels of the organization with strong organizational awareness - 5 years in medium to large, multi-departmental organization.
  • Knowledge of insurance and risk management frameworks.
  • Strong presentation and facilitation skills.
  • Sound negotiation and problem-solving capabilities.
  • Strong organizational skills.
  • Multi-stakeholder engagement ability.
  • Proven record of attention to detail, time management, and leadership abilities.
  • Fluent in insurance process, including negotiation, reserving, and liabilities.

Licenses and/or Professional Accreditation - Would be an asset

  • Risk management designation (CRM, CRMA).
  • Associate in Claims - Management (AIC or AIC-M).
  • Associate in Risk Management (ARM) or Canadian Risk Management (CRM).
  • Chartered Loss Adjuster (CLA).
  • Workers Compensation Professional (WCP).

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