Company
Role Responsibilities
- Acts as coach and mentor and providing technical and facilitation training to supervisory and file handling staff
- Works with team to monitor performance and achievement of SLAs, KPI, audit initiatives and interim billing targets
- Weekly review of new claim files at 60/120/180 days
- Review of deductible collection process/implementation of same
- Review of new contracts/ guidelines/training with team as required
- Review and training of regulatory requirements
- Reinforcement of Claim Data Integrity
- Recruiting of new employees
- Assists Head of Claims/ Head of Operations as required
- Client facing where required
- Manages small amount of own claim files
Claims Management Of a Reduced Pending
- Works independently to examine or direct complex liability claim handling.
- Assembles information for the purposes of evaluating the scope of the loss and determining appropriate coverage and indemnification to effectively manage claim.
- Produces complex reports with little to no direction.
- Directs Field Adjusters on assignment investigations.
- Settles claims directly with claimants or their representatives.
- Administers claim payments/settlements through trust accounts.
- Liaises with all stakeholders to ensure client's needs are met.
- Seeks advice from manager, as necessary, in a collaborative manner.
Qualifications \& Experience
- University Degree/College Diploma or combination of education and equivalent business experience
- Working towards CIP designation
- Minimum of 6 years' experience Liability, Auto, and Bodily Injury Adjusting including demonstrated people leadership in a commercial claims environment
- Multi-line adjusting experience would be an asset.
- Experience dealing with Lloyd's would be an asset.
- Individual must demonstrate the ability to direct adjusters of all levels and work effectively in a team environment
- Demonstrated ability to communicate effectively with both internal and external associates, written and oral communication skills
- A positive, "can do" attitude and customer service approach ensuring all inquiries are effectively dealt with in a timely manner
- Strong analytical, problem solving and organizational skills
- Demonstrated ability to be proactive in identifying and implementing solutions
- Proven ability to multi-task in a fast paced and demanding environment
