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Business Unit ClaimsPro
Region National Accounts
Location Toronto/Mississauga
Province Ontario [ON]
Position Title/Titre du poste Claims Administration Supervisor
Job ID/ID Travail 1529
Role Summary Working with the VP Claims Administration, the Supervisor is responsible to ensure the accurate and timely set up, dissemination and assignment of newly reported claims on a 24-7-365 basis as well as ensure the department is meeting and exceeding corporate and client guidelines and performance standards.

This role requires the incumbent to be available 24-7-365 on an as needed basis (which includes occasional weekends and holidays).
Competencies required to succeed • Communication Skills - the ability to communicate effectively with both internal and external associates, written and oral techniques
• Problem Solving - the ability to look at situations and barriers to creatively provide solutions that meet the needs of all parties in the best collective manner possible
• Initiative - being proactive in identifying and implementing claims handling solutions resulting in equitable settlements
• Teamwork - must genuinely intend to work cooperatively with others
• Adaptability – embraces change and demonstrates a willingness to learn
• Ability to take simultaneous direction from multiple sources and manage conflicting priorities in an effective manner
Responsibilities Quality Assurance / Customer Service

• Supervise the set up and distribution of new claims assignments to internal adjusters and external clients (Insurer and Program) in accordance with predetermined KPI’s.
• Monitor and sort ECS calls daily; perform any action required to complete or modify report; ensure calls are properly distributed to clients
• Supervise the call centre after hours in dealing with call routing
• Compile daily Agent and queue reports; provide reports to management on weekly basis; review reports and work with stakeholders to address errors Field and answer client inquiries and resolve escalated issues.
• Interact with both internal and external stakeholders to investigate and resolve service lapses.
• Monitor adjuster page-outs daily and ensure that field attendance is provided when required
• Conduct daily/monthly quality reviews of claims set up and call processing based on company and client KPIs.
• Complete monthly client billings
• Participate in the bi- weekly calibration call
• Responsible for call coaching and reviewing customer service standards
• Educate and train staff on the operation of the system and requirements
• In conjunction with the Vice President develop and maintain training manual(s)
• Support the organizing and triaging of the CAT plan
• Support Vice President in client acquisition process by participating in establishing client service standards (claims set up, etc.)
• Set up and management of telephony for client queues and intake
• Develop line scripting for new clients and changes for existing clients
• Ensure client instructions, scripting, and database are maintained and kept current
Education, knowledge and experience required • University degree/college diploma or combination of education and equivalent business experience
• A minimum of 3 years previous supervisory experience (in a claims environment as asset)
• Experience with telephony queues and call routing
• Bilingual in English and French an asset
• Chartered Insurance Professional (CIP) Program in progress and working towards full licensing an asset

Additional Responsibilies:
Employee Production
• Scheduling and supervision of staff to match capacity (resources) to demand.
• Educate and train staff on the operation of claims creation
Employee Development
• Prepare and discuss performance reviews with staff members
• Provides guidance and feedback regarding performance
• Support technical training and other development requirements
• In conjunction with the VP Claims Administration develop career-pathing plan for the team
• Ensure new employees have received comprehensive orientation and completion of onboarding program
Resource Management
• Assist in the recruitment and selection of staff
Date Added 2/7/2013
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