Insurance Claims Administrative Assistant

2 weeks 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.

POSITION DETAIL

The Claims Advisor/Support 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. This role represents itself as a Claims Partner and advocate for the Broker client to ensure a successful claim experience.

This role is also responsible for providing prompt and efficient handling of a variety of administrative functions including accounts receivables, adjuster reporting, and month-end invoicing.

Reports to (Title)
- Claims Supervisor
- National Claims Manager
- President

Division / Group
- Claims Administration

RESPONSIBILITIES

**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.

Administrative Support
- Account Receivables
- Follow up on past due invoices, report to the President with any invoicing queries or concerns from Examiners.
- Scan and upload cheque and invoice and post to operating system; correspondence with Adjuster.
- Prepare and disburse outstanding invoices for past due clients.
- Reporting and Invoicing
- Support President with reviewing and editing Adjuster reports; ensure all enclosures are in system; complete any final revisions.
- Provide final reports to Examiner with any other related and necessary documentation/enclosures and prepare claims file for closing.
- Prepare claims file for closing.
- Receive and coordinate payments applicable to the file as needed.
- Invoice and complete any final revisions as per President.
- Submit time entries in system as required.
- Receive and coordinate cheques applicable to claim file.
- Sort through and distribute incoming mail.
- Support Management with Health & Safety initiatives as requested.
- Prepare monthly and quarterly reports as requested.
- Assist on other projects as assigned by Management.

QUALIFICATIONS
- Experience in insurance adjusting industry or broker claim



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