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Business Unit ClaimsPro
Region National Accounts
Location Yonge and Eglinton
Province Ontario [ON]
Position Title/Titre du poste Claims Triage Specialist
Job ID/ID Travail 1519
Role Summary Perform claim triage on new losses by engaging designated resources, claim units, and/or protocols to respond to defined categories of high-profile, complex claims nationally. This role requires the flexibility to be available between the hours of 8am to 8pm Monday through Friday.
Competencies required to succeed • Strong customer service skills & high sense of urgency
• Superior communication skills both written and verbal
• Strong organizational skills with an ability to re-prioritize tasks and manage time effectively
• Team player and excellent interpersonal skills with ability to interact with all individuals in all levels within the organization
• Ability to work well under pressure and maintain composure in a fast paced and changing environment
• Reliable and punctual
Responsibilities • Triage approximately 100 new claim notices per week (adjusted as per business needs) and maintain a rating of 100% on File Quality Assurance Reviews (FQAR) and zero customer complaints.
• Identify type of loss and coordinate response to defined categories of loss events across all lines of business.
• Identify the immediate needs and requirements of incoming new losses. – is it immediate and high priority.
• Provide training/mentoring and technical expertise to the internal organization and business partners for succession planning purposes.
• Generate ad-hoc statistical reports as required.
• Support process improvements and share these with management.
• Support quarterly review meetings to identify efficiencies
• Follow up with external insurers/adjusters regarding claim number and reserves
Education, knowledge and experience required • Post secondary education
• Minimum three to five (3-5) years of previous adjusting experience is required.
• Knowledge of policy wordings, exposures, coverage, and layers of insurance
• Bilingual in French and English preferred
• Demonstrated abilities in problem solving, communication, producing effective written material and organizational skills are necessary
• Strong computer skills with an aptitude/ability to learn new software/databases
Date Added 1/21/2013
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