Insurance Claims Advisor

7 days ago


Greater Toronto Area, Canada DSB Claims Solutions Inc. Full time

Named Best's Recommended Insurance Adjusters 2019 and awarded The Winmar Award for Excellence in Claims Service in 2018 and 2020, DSB Claims Solutions’ ongoing commitment to providing best-in-class service is evidenced by the team’s unrivalled depth of experience and availability 24/7 - 365 days a year.

DSB knows that success depends on building a world class team and we invite you to consider putting your talents to work, building a successful career at DSB working alongside other talented, highly motivated individuals.

What drives you to be successful? What are you looking for in an Employer?

*Challenging work that stretches your capabilities, so you continue to learn and progress?
*Opportunities to excel and build your expertise?
*A work environment that respects individuality and promotes team work?
*Communication and feedback?
*Mentors who will share their expertise and support the development of your skills?
*A progressive company that is growing, passionate and takes pride in our work?

At DSB Claims Solutions, we check off all those boxes and more. We pride ourselves in being high performing claims professionals and our commitment to providing exceptional customer service sets us apart. We are one of just a few Canadian independent adjusting firms with specialized expertise and we’re looking for you to join us.

We are currently looking to add a Claims Advisor to join our team - someone who is a team player, who will go the extra mile to exceed customers’ expectations, and who will represent our brand with the same professionalism and pride on which we founded our company.

The Role:
The Claims Advisor will be responsible for coordination of all claims received through various channels. This is a client service role that will interact extensively with various parties involved in the claim process including Brokers, Insurance companies, Insureds, Adjusters as well as team members. In addition to claims intake and reporting support, this role must represent itself as a Claims Partner and advocate for the Broker client to ensure a successful claim experience.

Claims Intake/Setup/Reporting
*Create First Notice of Loss (FNOL) and distribute to appropriate reporting channels within established timelines.
*Complete 24-hour reports in accordance with DSB and client expectations.
*Follow up as necessary with Insurance company regarding report submission, assigned Examiner and all relevant contact information.
*Maintain electronic information, diaries, and time entries in systems as required.
*Provide final reports for Examiners and prepare claims file for closing.
*Receive and coordinate payments applicable to the file as needed.
*Maintain daily access in the telephone queue in accordance with DSB expectations.
*Adhere to and maintain file diary schedule in the Broker operating system. Diaries for all claim setup must be kept current and relevant at all times (includes calls that do not develop into a claim).
*Adhere to system / telephone standards and achieve and maintain performance /productivity metrics.
*Manage all incoming claim correspondence from Carriers or Adjusters to update the status of claims. Incoming correspondence and or documents must be input into the Broker operating system and cleared within 5 days of receipt.
*Provide Management Reports for corporate office and Broker Accounts as requested.
*Other duties as required in order to support the team.

Claims Advocacy
*Through contact with Carrier Adjuster/Examiner advocate for the Broker Client regarding the process.
*Respond to Broker Client calls received directly following claim setup and answer questions on behalf of the Broker.
*Advise and make recommendations in accordance with licensing parameters and Account instructions.
*Other duties as required in order to support the team.

Qualifications:
*1 - 3 years of insurance adjusting industry or broker claims experience an asset.
*Post-secondary education or a combination of relevant education and on-the-job experience.
*Prior experience in customer service environment required.
*Insurance Claims Licence and actively pursuing CIP designation preferred or willingness to enrol in and complete the CIP curriculum within the specified FSCO timeline.
*Strong English oral and written communication skills; Mandarin an asset.
*Working knowledge of Auto/Property adjusting and claim adjudication process an asset.
*Proven ability to have an empathetic telephone manner, professional communication skills and mannerism throughout a telephone call experience.
*Demonstrated ability to manage changing priorities and proven organizational skills to plan, review and follow-up to prioritize tasks. Planning must be done to handle deadlines, peak periods and/or unexpected situations; a sense of urgency is essential.
*High attention to detail
*Demonstrated behaviors showing initiative and follow-up skills.
*Demonstrated ability to maintain a high level of confidentiality.
*Demonstrated professionalism



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