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Company:

ClaimsPro LP - International Programs Group

Account Administrator - Full-time (New Westminster, BC, Canada)

Role Summary

This is a great opportunity for recent graduates that are looking for an entry level position to start their career in a professional setting. 

International Programs Group (IPG) is an independent Third-Party claims Administrator which provides claims services for Lloyd’s of London syndicates, self-insured entities, or organizations with high deductibles or Self Insured Retention. 

Today IPG works with Canada’s largest network of independent adjusting firms across the country. Operating out of Toronto, Montreal, Vancouver, each office is staffed with specialized senior examiners and qualified desktop examiners. We have regional expertise and are licensed in all Canadian provinces.

The successful candidate will work within IPG, a company of opportunity and excitement - we are looking for the right candidate to join us! 

Responsibilities

• General administrative duties such as photocopying, collating, filing, faxing, etc.
• Support in opening claims in internal database and triaging of claims assignments
• Support in processing cheque requests
• Assist account coordinator with onboarding of new clients
• Maintaining and updating client guidelines
• Assist in the design of workflows to create efficiencies for client accounts and specific client initiatives 
• Communicates with client re: trust account balances
• Works with Finance to ensure smooth cheque/payment issuance workflow
• Works with Examiners to facilitate payment cash calls and scheme advances
• Investigate and resolve payment queries

Qualifications & Experience

• Open to new graduates/entry level applicants
• Previously demonstration ability to execute high attention to detail 
• Demonstrated ability to manage changing priorities and proven organizational skills 
• Demonstrated initiative, behaviours and follow-up skills. 
• Demonstrated professionalism and work ethic 
• Proven ability to contribute to and work well within a team environment

Working/Environment Conditions

SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.

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Company:

ClaimsPro LP

Adjuster - Multi-line (Hamilton, Ontario, Canada)

We are currently looking to add an experienced Multi-line Adjuster to our Hamilton team!

Why should you consider a career with ClaimsPro? We are proud of our people and it shows:

•    You will be part of a team of over 700 independent adjusters from across Canada.

•     Your career can grow into other lines of claims, branch management, across Canada into other branches, or new roles - the sky is the limit.

•     You will work on the industry-leading Claim Space software, designed by an adjuster for adjusters and kept modern with our in-house team of programmers and developers.

•    You will be supported by experienced local claims support, centralized after hours support, and dictation services.

•    Your claims load is driven by senior executives and business development staff from coast to coast.

•  Your workload is balanced and you will be compensated for your billable hours.

•  You will be entitled to a multitude of benefits such as education fee reimbursement and a flex-benefit health and dental plan that allows you to customize your coverage.

•   Our local office in Hamilton will welcome you, provide you with a nice office, friendly coworkers and a place to grow your career.

With over 90 branches in Canada, ClaimsPro is the largest supplier of claims management services, coast to coast. Our claims professionals offer a broad range of expertise across multiple disciplines and are committed to providing the highest quality of service to our clients. Visit www.scm.ca or www.claimspro.ca to learn more.

Job Responsibilities:

• Direct field investigations as required for exposure and within account guidelines parameters. 

• Make initial contact as per account guidelines. 

• Report to client as per account guidelines. 

• Identify liability exposures, recommend reserves, recommend investigation required for exposure, prepare action plans, and negotiate settlements. 

• Provide high level of customer service to clients and the insured. 

Qualifications and Experience:

• University degree or post-secondary education related to insurance.

• Equivalency in combination of education and experience will be considered.

• Ongoing commitment to education and learning.

• Effective analytical skills, including identification of cause and effect dynamics.

• Good investigative manner.

• Able to draw valid conclusions and effectively communicate them.

• Ability to interpret complex documents of a legal nature, perform and understand advanced numerical calculations including analysis of comparative information.

• Adjuster’s license, or currently pursuing CIP designation

• General knowledge on the use of Xactimate and XactAnalysis.  Certification in Level 1 or Level 2 preferred.

• General familiarity and comfort with use of Microsoft Office Products (Outlook, Word, Excel, Onedrive).

• Previous adjusting experience

• Advanced communication skills including:

  • Effective written skills including those of a technical nature.

  • Effective oral skills, including listening, interviewing, negotiating, must be able to flex style appropriate to audience.

  • Demonstrated organizational skills with the ability to prioritize and manage conflicting priorities in an effective manner.

  • Proactive and positive approach to customer service ensuring that all inquiries are effectively dealt with in a timely manner.

  • Strong interpersonal skills allowing you to effectively deal with conflict and difficult situations.

  • Strong commitment to ongoing education and learning.

Environment/Work Conditions  

• This position requires some travel

• Start-up environment

• Positive Team Dynamics

• All prospective employees must pass a background check

• Time Allocation estimations are subject to change

SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.

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Company:

ClaimsPro LP

Administrative Assistant - (Surrey, British Columbia)

Role Summary
Loss Adjusting is a fast-paced, complex field of insurance with no 2 files quite the same.  Whether it be a home fire, a fender-bender, or an injury caused by a major accident, the ClaimsPro team determines coverage, legal liability, and settles claims with excellent customer service.

ClaimsPro relies on their Administrative Assistants to support the branch staff and producers in the delivery of quality service to our clients. 
The key focus of the position is to provide effective and efficient administrative support within a fast paced environment. The position duties include typing, computer work on our internal software program and MS Office, file coordination and filing, reception duties and may also provide other administrative and clerical support to various branch staff. Other duties as may be required.
 
Responsibilities 
•    Document control: maintain client files, photocopy and distribute documents, scan claim mail and faxes, attach to online claims files and put hard copy to file. Prepare files for closing. 
•    Handling billings for claims - prepares invoices for client billing 
•    Reception relief: answer phones and forward calls in a timely, professional and efficient manner 
•    Opening new client claims and set up in the system 
•    Transcribes data from source documents following generally standardized procedures using coding skills and some judgement, for review by the adjuster 
•    Claim file management – filing and pulling information 
•    Administrative support to the Office Supervisor as needed 
•    Other duties as assigned

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Qualifications and Experience
•    A post-secondary diploma in Office Administration

•    Experience in an administrative support environment is mandatory
•    Previous experience within a dynamic team will be given preference. 
•    Previously demonstrated ability to execute high attention to detail 
•    Demonstrated ability to manage changing priorities and proven organizational skills 
•    Demonstrated behaviors showing initiative behaviors and follow-up skills 
•    Demonstrated ability to maintain a high level of confidentiality 
•    Demonstrated professionalism and work ethic 
•    Proven ability to contribute to and work well within a team environment 
•    Intermediate experience with Word, and strong Excel skills are required 
•    All other computer applications –must have the aptitude and ability to learn as required
•    All prospective employees must pass a background check

Environment/Working Conditions 
SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.

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Company:

Opta Precise Services LP

Administrative Assistant - Burnaby, BC - permanent full time

Job Description Summary:

Job Description:

The key focus of the position is to provide effective and efficient administrative support within a fast-paced environment.  The position duties include support to the inspection files and assist if file management, computer work on our internal software program and MS Office, billing, client contact and support, and may also provide other administrative and clerical support to various branch staff.   Other duties as required.

Job Responsibilities:

• Provide support to inspectors in all aspects pertaining to successful completion of inspections.

• Retrieve requests from client web site and enter requests on internal systems.

• Enter Recommendations from reports on our internal systems.

• Upload reports to clients’ web sites.

• Submit supplementary pay requests and credit/debits as required.

• Billing as required.

• Liaise with underwriters/brokers on files where assistance is required.

• Update and answer queries from underwriters.

• Administrative support to the regional leader as needed.

• Other duties as assigned.

Qualifications & Experience:

• A post-secondary diploma in Office Administration or other preferred.
• Previous experience within the insurance industry will be given preference.
• Minimum 2 - 5 years’ experience in an administrative support role is required
• Previously demonstrated ability to execute high attention to detail
• Demonstrated ability to manage changing priorities and proven organizational skills
• Demonstrated behaviors showing initiative behaviors and follow-up skills
• Demonstrated ability to maintain a high level of confidentiality
• Demonstrated professionalism and work ethic
• Proven ability to contribute to and work well within a team environment
• Experience with Word, Excel & Outlook skills are required
• All other computer applications – must have the aptitude and ability to learn as required 

Competencies:

• Professional demeanor and strong customer service & interpersonal skills
• Excellent organizational skills / ability to prioritize  
• Strong verbal and written communication 
• Demonstrated attention to detail
• Action oriented and ability to take initiative 
• Able to work in fast paced, evolving environment with minimal supervision

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Company:

Cira Health Solutions LP

Assessment Centre Coordinator - part-time -on call- immediate start - (Barrie)

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Company:

Cira Health Solutions LP

Assessment Centre Coordinators - Casual part-time, On-Call (London, ON)

As an Assessment Coordinator you are responsible for answering customer calls and coordinate the assessment centres for the various services offered by Cira Health Solutions. This position is responsible for overseeing the day to day operation of the assessment centres that complete independent medical assessments, so that our claimants have a pleasant experience. The Assessment Coordination team is client focused and deadline driven. The overall mandate requires all assessments to be completed according to each client's guidelines and Cira’s service excellence standards.

This is a part-time casual position - up to 20 hours a week. Your hours are determined based on assessments booked and shifts will include working some Saturdays.

We are also looking to have individuals start in the Assessment Centre then move to a full-time role afterwards (Mississauga).

Key Performance Factors:

To oversee and ensure that all assessments completed are done so in a professional and client-focused manner and are in keeping with the instructions from our clients and Cira’s service excellence standards.

• Be a member of a high performing team by being a professional Assessment Coordinator who are the face of Cira Health Solutions;
• Ensuring completion of all internal processes, such as:
  • Answering phone calls and transferring calls in a timely manner and responding to enquiries efficiently;
  • Returning all messages within a defined service standards;
  • Cleaning Assessment rooms after each assessment;
  • Ensuring waiting rooms are clean;
  • Ensuring Assessor needs are met;
  • Check in examinees and verify claimant’s identification;
  • Completing Reminder calls when required;
  • Ensuring all intake forms are completed and tracked for internal assessments in a timely manner;
  • Recording appointment outcomes;
  • Arranging Taxi, Translation and Chaperone services;
  • Performing administrative duties as needed.
• Daily review of Assessment Centre Schedules with Assessment Centre Team Lead;
• Ensuring compliance around all Customer Service standards for all incoming calls;
• Utilizing strong communication and exceptional customer skills;
• Review work processes and make recommendations for workflow efficiencies using a collaborative approach;
• Resolve day-to-day Claimant questions/issues and escalate to Team Lead as required;
• Assist with daily issues/concerns from both internal and external customers;
• In Complex cases, obtain assistance from Team Lead/or other members of the team, such as the Director of Operations.

Please note responsibilities are subject to change due to business need and client demands.

• University degree is a plus
• Minimum 3-5+ years supervisory experience
• Strong communication and customer service offering “best in class” experience/services to our clients 
• High degree of accuracy and strong attention to detail
• The ability to work well with others and have strong interpersonal skills needed to deal with a wide variety of personalities
• Exceptional multitasking, organizational, problem solving, decision making, critical thinking skills
• Experience with Smartsimple, eClaims, iAssess an asset

SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.

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Company:

ClaimsPro LP

Bilingual Claims Service Representative - Full-time (Mississauga/Remote)

Job Description Summary:

Job Description:

We are looking for Bilingual French/English speaking Customer Services Representatives to join this growing team! Multiple roles available.

• Provide immediate and customer-focused assistance to policyholders who are calling to report insurance claims. Document initial loss details and activities to ensure that callers experience timely and service oriented disposition of calls. Make determination based on protocol if immediate adjuster attention is required and coordinate with vendors as required.

  
  * Please note that this position requires shift work on a seven (7) day rotating basis 24 hours a day.

  
  *Only candidates fully bilingual in French and English will be considered
  *This is a full-time opportunity, and will require 37.5 hours of work per week.  Initial training will be onsite in Mississauga then we will sponsor a work from home environment

** Preference will be given to candidates who have successfully completed the following Insurance Institute courses - Essentials of Loss Adjusting (C110), Automobile (C14), Property (C12) and Principles and Practices (C11) **


Responsibilities

• Review ECS call report and ensure call has terminated properly and forward accurate and complete call reports as required.
• Provide personalized customer service of the highest level
• Arrange for the dispatch of adjusters or vendor partners when required
• Field and answer branch inquiries and administer to ECS menu
• Maintain data base of service lapses reference for root cause, report trends and make recommendations to management
• Review claim information to determine proper next steps for processing against client guidelines/ service agreements

Education, knowledge and experience required

• Post secondary education
• Minimum 1 year administrative experience
• Knowledge of insurance/service industry or related experience preferred
• Strong computer and telephone skills with an aptitude/ability to learn
• Effective communication skills both written and verbal in English and French
• Attention to detail

Environment/Work Conditions

SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process

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Company:

ClaimsPro LP

Bilingual Claims Triage Specialist - Full-time (Mississauga)

Role Summary  

Provide front-line quality customer services and fulfill an important role in the claims creation process for new claim reports received via email, fax, and telephone. Perform claims triage on new losses by engaging designated resources, claim units, and/or protocols to respond to defined categories of high-profile, complex claims nationally. Take part of a phone queue primarily receiving inbound calls, though some outbound call follow up is required. All calls require documentation and data entry for claims creation and follow up. 

This role requires the flexibility to be available between the hours of 8AM to 8PM Monday through Friday.

Competencies required to succeed      

• Professional demeanour and strong customer service skills
• 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
• Ability to work independently with minimum supervision
• Ability to use good judgment and hit the ground running
• Previous insurance experience is a definite asset as are CIP courses or a willingness to take
• CIP courses through the Insurance Institute

Responsibilities      

• Field and enter new claims reports received through a variety of methods, such as email, telephone, and fax.
• Triage new claim notices and report, as applicable, to all layers or as specifically instructed by the Claims Advocate.  Reporting in line with service level agreement.
• Identify type of loss and coordinate response to defined categories of loss events across all lines of business.
• As applicable, manage and distribute incoming email communication from seven zonal email boxes.
• 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.
• Provide administrative support and assistance when required.
• Generate ad-hoc statistical reports as required.
• Support process improvements and share these with management.
• Follow up with external insurers/adjusters regarding claim number and reserves

Education, knowledge and experience required      

• Post-secondary education
• Insurance industry experience/exposure preferred
• Minimum 3 years’ experience in a customer service/support role required
• Previous experience working in a call center environment or on a queue preferred
• Exceptional MS Office skills (Outlook, Word, Excel, PowerPoint)
• Strong computer skills with an aptitude/ability to learn new software/databases
• Bilingual in English and French is required

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Company:

Cira Health Solutions LP

Bilingual Reports Coordinator (editing skills) -Full Time-Future Start-Mississauga

Job Description Summary:

Job Description:

The Reports Coordinator (editor) ensures the provision of efficient administrative services and procedures. This is an editorial role.  The Reports Coordinator is responsible for working with the clinical staff and all members of the team to effectively coordinate reports workflow within a timely manner, and within customer guidelines, KPIs and SHIs. This entails full quality assurance administrative duties, for all product lines including Property and Casualty, Employer, Life and Health, Med–legal and Catastrophic files.  Quality Assurance responsibilities will include proofing and reviewing of clinical reports submitted to Cira from the assessor, which entails checking for grammar and spelling errors, confirming administrative level information details, reviewing file documentation references for accuracy and ensuring that all questions asked by the referral source are appropriately addressed. In addition, this position will involve general administrative duties such as sending reports to assessors for sign off, tracking reports in the database, faxing, scanning, linking reports and dictations, staff assignment, and communicating with assessors and clients as necessary.  This role may be required to perform medical transcription duties as required and as determined by assignment. 

Competencies required to succeed

• Strong editorial skills
• Strong communication skills, both written and verbal
• Strong, accurate, keyboarding skills
• Detail oriented
• Ability to support departmental and organizational goals and objectives
• Ability to work independently, and respond to multiple changing demands and deadlines with demonstrated ability to work under pressure of competing demands
• Strong interpersonal skills: external (clients/assessors) and internal (personnel)
• Strong organizational and analytical skills
• Advanced computer skills with ability to learn new programs quickly and employ a variety of software applications (e.g. Advanced proficiency of Microsoft Word, Windows Explorer, Outlook and Microsoft Excel are required).
• Familiarity with appropriate legislation as well as industry forms and requirements an asset
• Medical terminology and/or transcription an asset

Report Review/Quality Assurance

• Ensure adherence to company and industry technical standards as required by legislation and client requirements (e.g., CARF, SABS, Clinical College Policies, Rules of court, PIPEDA etc.)
• May be asked to communicate with clients and assessors as needed.

Responsibilities

• As part of the critical cross referencing requirement, review complex reports and ensure optimum report quality within all functional areas including the following
• The overall content of the report conforms with all applicable technical and legislative requirements as above
• Client questions are addressed within the assessment process
• Provided file documentation is reviewed and integrated within the report in an accurate and comprehensive manner
• Other duties as assigned

Education, knowledge and experience required

• University degree (preferred)
• Healthcare education/training is an asset
• Editorial experience required
• Medical Transcription Certificate and/or Medical Terminology is an asset
• Experience in the IME, insurance or legal environments is preferred
• Knowledge and familiarity with relevant provincial or market segment legislation is an asset

Environment/Work Conditions

Need to be physically able to work regular shifts and to understand and support client impacts of service.   

Will be required to work different shifts to ensure 7:00 am to 8:00 pm EST (9 – 5 or 10 – 6, or 12 – 8)coverage to support assessors and clients.

SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.

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Company:

ClaimsPro LP

Chef d'équipe/Team Lead - (Laval, Quebec)

Travaillant au bureau régional de Laval le chef d’équipe conseille les experts en sinistres et répond à leurs questions quant aux procédures à suivre dans le traitement des dossiers et au niveau du service aux clients

Compétences requises pour réussir

• Permis d’expert en sinistres, catégorie 5a
• 7 à 10 années d'expérience dans les règlements de sinistres en assurance des particuliers et en assurance des entreprises
• Expérience en Gestion d’une équipe de 1 à 3 ans serait un atout.
• Bilinguisme un atout – anglais/français (oral et écrit)
• À l'aise dans l'utilisation des outils Microsoft
• Titre PAA un atout

RESPONSABILITÉS PRINCIPALES:

• Effectuer la gestion quotidienne de l’équipe (répartition de la charge de travail, gestion du temps de présence, vacances, temps supplémentaire, etc.)
• Participer aux évaluations de performance (ACE) et à l’établissement des objectifs annuels des membres de son équipe. Motiver les membres de son équipe en fonction des orientations de l’entreprise
• Informer le directeur des besoins de formation et d‘organisation du service et suggérer des pistes d’amélioration. Effectuer ensuite le suivi de la mise en place de ces modifications
• Élaborer les plans de formation et/ou de gestion de la performance pour les employés
• Participer à des projets spéciaux à la demande de son supérieur
• Participer aux rencontres de chefs d’équipe et transmettre l’information à son équipe.
• Travailler en collaboration avec le ou les autres chefs d’équipe dans la planification et la promotion des meilleures pratiques
• Participer au processus d’embauche d’expert
• Rencontrer les objectifs de production établies par le directeur

Exemples :

• Établir les objectifs et procéder à l’évaluation des membres de l’équipe
• Répartir le travail
• Organiser l’horaire de l’équipe
• Planifier et approuver les vacances et les absences
• Transmettre l’information de la direction aux experts
• Effectuer la vérification des plaintes de niveau 1
• Emettre les directives aux experts de son équipe
• Analyse du rapport de rendement (production, abeyance, qualité) par expert et identification des cas problématiques

SCM Insurance Services et ses affiliés accueillent et encouragent les candidatures de personnes handicapées. Des adaptations sont disponibles sur demande pour les candidats tout au long du processus de recrutement et d'évaluation.

Working at the Laval regional office, the team leader advises claims adjusters and answers their questions regarding the procedures to be followed in handling cases and in terms of customer service.

Skills required for success:

• Claims adjuster's license, category 5a
• 7 to 10 years of experience in personal and commercial lines claims settlements
• Experience in Managing a team of 1 to 3 years would be an asset.
• Bilingualism an asset - English / French (oral and written)
• Comfortable using Microsoft tools
• PAA title an asset

MAIN RESPONSIBILITIES:

• Perform the daily management of the team (distribution of the workload, management of attendance time, vacation, overtime, etc.)
• Participate in performance evaluations (ACE) and the establishment of annual objectives for team members. Motivate the members of his team according to the orientations of the company.
• Inform the director of the training and organizational needs of the service and suggest areas for improvement. Then follow up on the implementation of these changes.
• Develop training and / or performance management plans for employees.
• Participate in special projects at the request of his superior.
• Participate in team leader meetings and pass the information on to your team.
• Work in collaboration with the other team leader (s) in planning and promoting best practices.
• Participate in the expert hiring process.
• Meet the production objectives established by the director.

Examples:

• Set goals and assess team members.
• Distribute the work.
• Organize the team's schedule.
• Plan and approve vacations and absences.
• Transmit information from management to experts.
• Perform level 1 complaint verification.
• Issue directives to the experts of his team
• Analysis of the performance report (production, abeyance, quality) by expert and identification of problematic cases.

SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.