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Company:

ClaimsPro LP

Adjuster - Permanent - Sudbury

Job Description Summary:

Job Description:

Role Summary  
We are currently looking to add an experienced Multi-line Adjuster to our Sudbury team! Must be able to immediately qualify for an adjuster license in Ontario

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

Competencies required to succeed  

• Effective Analytical Skills 
• Effective communication skills (verbal, written and presentation) 
• Organizational skills 
• Interpersonal skills 
• Relationship Building skills 
• Demonstrated and proven leadership skills 
• Sense of urgency and responsiveness

Responsibilities  
The Independent Adjuster actively adjusts claims while ensuring that business development opportunities are maximized. This involves marketing and follow-up of opportunities in a timely manner. The profile duties create a dynamic portfolio requiring extremely well-honed organizational skills that enable day to day activities to be completed while allowing efficient and effective progress of file management activities. 

To succeed in this role, the ideal candidate should have background/experience in Property, Liability, Auto, Accident & Benefits (Section B), and Bodily Injury claims. Although this position will adjust multi-line claims, the bulk of the work is in property.

Responsibilities include;

• Prompt contact and follow up with policy holders and claimants 
• Investigate the cause and report to clients with solid recommendation
• Scope and establish quantum of damages.
• Negotiate fair and satisfactory settlements
• Perform duties assigned to him/her in compliance with established work standards, policies and procedures.

Education, knowledge and experience required 

• Minimum of 2 years adjusting experience - property claims experience preferred
• 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. 
• Strong interpersonal skills allowing you to effectively deal with conflict and difficult situations. 
• Strong commitment to ongoing education and learning.

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:

Opta Information Intelligence Corp.

Bilingual (English/French) Client Care Specialist with Insurance Inspection experience (Markham or Burnaby)

Job Description Summary:

Job Description:

Join The Best Team in the Industry

As the largest property data aggregator in Canada, and a market leader in analytics solutions, Opta Information Intelligence is looking to bolster its current roster of talent across Canada. Recently named among the 50 Smartest Companies of the Year by Silicon Review, Opta is on the leading edge of providing data solutions to the P&C industry. Other recent accolades include being listed as a Top 10 Big Data Solution Provider by Insurance CIO Outlook in 2015, voted Most Critical Service Provider in Delivering the Future of Canadian Insurance (outperforming Apple, IBM, and Google) by FC Business Intelligence in 2016, and named Innovator of the Year by Insurance Nexus at Canadian Insurance Analytics Conference in 2016. Join the future of innovative technology—apply for a position below!

Reporting to the Manager, Client Experience & Initiatives, the incumbent (will be required to provide timely customer-focused assistance to both external and internal clients regarding OPTA’s products and services.

Our Expectations: 

• Review various residential and commercial properties across Canada for their construction attributes.
• Review and respond to inquiries regarding loss control reports across Canada (pre-inspection, post-inspection technical inquiries, system inquiries)
• Customer Service performance: Meeting response, resolution and productivity targets while meeting and exceeding Client expectations.
• Accountable for the thorough implementation of sales organization-impacting initiatives.
• Responsible for the efficient allocation of technology, support, and training resources impacting the sales organization.
• Supporting clients with FAQ responses.
• Accountable for accurate and on-time reporting.
• Accountable to Client Experience Manager.

Competencies required to succeed

• Ability to build and maintain good relationships with clients and all stakeholders.
• Ability to solve problems.
• Sound knowledge and application of telephone and email etiquette.
• Team player with a strong commitment to quality and customer service.
• Excellent time management and organizational skills with the ability to multi-task.
• Ability to prioritize and complete tasks with strong attention to detail and accuracy

Responsibilities

• Respond to both telephone and email queries promptly
• Triage and escalate some Tier Two queries and tasks to appropriate account manager/training department/valuations team
• Handling technical insurance issues including: Clarification of technical report details, investigating and clarifying report results from all Opta services.
• Pulling and compiling monthly reporting as required for internal staff and external clients on client activity, client inquiries, trending topics.
• The incumbent will liaise with service staff, quality assurance specialists, department seniors and management, as appropriate in resolving and escalating incoming queries and tasks.

Experience Required

• Excellent written, verbal and interpersonal communications skills in English and French
• Good working knowledge of Microsoft offices and excellent computer skills.
• Property and Casualty experience – an asset
• Experience in residential property inspections, residential property claims adjusting, residential construction, reconstruction or renovation or real estate would be 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:

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

Claims Adjuster - Full time Permanent - Yellowknife, NWT

Job Description Summary:

Job Description:

Overview

ClaimsPro is Canada’s largest independent insurance adjusting firm. We employ over 700 independent adjusters from across Canada. Our team is made up of some of the best and brightest talent in the business and we empower them with the tools, technology and support that they require to excel in their careers and help our clients reach their full potential.  

Why should you consider a career with ClaimsPro?

• You will be part of a dynamic workforce and you will be trained to use industry-leading technology such as our iAdjust software.
• As one of the seven companies under the SCM Insurance Services umbrella, you have the potential for you grow your career in a multitude of areas.
• 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.

Want to learn more? Visit www.scm.ca or www.claimspro.ca

• Investigate, negotiate and settle claims 
• 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 

• 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
• Previous adjusting experience preferred
• Proficient in Xact and Xactanalysis
• 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.?

• The Independent Adjuster actively adjusts claims while ensuring that business development opportunities are maximized. This involves marketing and follow-up of opportunities in a timely manner. The profile duties create a dynamic portfolio requiring extremely well-honed organizational skills that enable day to day activities to be completed while allowing efficient and effective progress of file management activities.

• To succeed in this role, the ideal candidate should have background/experience in Auto, Property, Casualty, Commercial General Liability, Accident & Benefits (Section B), and Bodily Injury claims as well as the following competencies;

• Effective Analytical Skills
• Effective communication skills (verbal, written and presentation)
• Organizational skills
• Interpersonal skills
• Relationship Building skills
• Demonstrated and proven leadership skills
• Sense of urgency and responsiveness

  Environment/Working 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

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Company:

ClaimsPro LP

Claims Adjuster - Permanent - Burnaby

Job Description Summary:

Job Description:

Overview

ClaimsPro is Canada’s largest independent insurance adjusting firm. We employ over 700 independent adjusters from across Canada. Our team is made up of some of the best and brightest talent in the business and we empower them with the tools, technology and support that they require to excel in their careers and help our clients reach their full potential.  

Why should you consider a career with ClaimsPro?

• You will be part of a dynamic workforce and you will be trained to use industry-leading technology such as our iAdjust software.
• As one of the seven companies under the SCM Insurance Services umbrella, you have the potential for you grow your career in a multitude of areas.
• 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.

Want to learn more? Visit www.scm.ca or www.claimspro.ca

Duties :

• Manage a portfolio of intermediate and advanced property damage claims. Primarily water damage and fire claims.
• Residential and Commercial claims
• Adjusting of Specialty claims including Employee Theft, E&O, Fraud and Business Interruption
• Adjusting of some Liability claims
• Claims upto and in excess of $ 1,000,0000
• Report directly to various insurers. Produced detailed and timely reports

Qualifications :

• Minimum of 2 years’ experience as a property claims adjuster
• Experience with water damage and fire claims
• Experience in residential and commercial claims
• Some experience with specialty claims
• Experience with large losses (in excess of $ 250,000) is preferred
• Some experience with Liability claims is preferred
• CIP Designation is preferred or working towards same

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Company:

ClaimsPro LP

Claims Adjuster - Regina

Job Description Summary:

Job Description:

Role Summary 
We are currently looking to add a claims adjuster to our Regina team! Must be able to immediately qualify for a level 1 SK adjuster's license. 
 
The Independent Adjuster actively adjusts claims while ensuring that business development opportunities are maximized. The profile duties create a dynamic portfolio requiring extremely well-honed organizational skills that enable day to day activities to be completed while allowing efficient and effective progress of file management activities.  

This position can either be desktop or road adjusting as determined by business needs.
 
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 

Education, knowledge and experience required  

• At least 2 years' relevant experience in claims adjusting 
• Must be able to obtain a level 1 Adjuster's license in SK 
• 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 

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 
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:

Cira Health Solutions LP

Clinical Advisor - future start - IME experience required (Mississauga)

Job Description Summary:

Job Description:

Cira Health Solutions is a national provider of independent medical evaluations (IME) and health-related services.

Must be a registered Healthcare Professional and looking for (IME) Independent Medical Evaluation experience

The Clinical Advisor is responsible for managing client files: coordinating and reviewing assigned files to meet Cira's quality standards and our client promise. The Clinical Advisor has a strong commitment to meeting and exceeding client expectations for quality and comprehensiveness of all reports, meeting delivery expectations across multiple lines of business (including but not limited to Property and Casualty, Employer, Life and Health and Medicolegal files) and interacting daily with clients and assessors with a goal to meet client requirements.

File Review/Clinical Coordination

• Clinical coordination/triage referrals for all product lines including reviewing files for clinical and technical information required to arrive at evidence-based recommendations for effective assessment pathways and teams where required.
• Liaise with intake and scheduling departments to ensure logistical coordination of assessment services within appropriate specialty and geographic parameters as required to meet company and industry technical standards as well as client requirements.

Report Review / Quality Assurance

• Abide by company and industry technical standards as required by legislation and client requirements (e.g., CARF, SABS, Clinical College Policies, Rules of court, PIPEDA etc.)
• Responsible for reviewing clinical reports and ensuring 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
• The conclusions are consistent with the report content, medical-based evidence and, and within the scope of the assessor’s expertise
• Client expectations are addressed within the assessment process
• Provided file documentation is reviewed and integrated within the report in an accurate and comprehensive manner
• Assist with review and quality assurance of file reviews and executive summaries when required
• Other duties as assigned by Clinical Director

Qualifications & Education

• Required to be a duly trained regulated health care professional, licensed by the Health Professional’s respective college (appropriate jurisdiction) or equivalent
• 3 years of relevant industry related experience required - must have experience with reviewing independent medical evaluation (IME) reports
• 3 years of prior experience in a similar role preferred
• In-depth knowledge and understanding of industry technical standards and legislative requirements as applicable to assigned line of business (e.g., CARF, SABS, WSIB Policies, Clinical College Policies, Rules of Court, PIPEDA etc.)
• Prior management experience leading teams is an asset
• Advanced proficiency within Microsoft Office platforms including Word, Excel, PowerPoint, Outlook, Windows Explorer
• Proficiency within SmartSimple, eClaims and similar platforms an asset
• Ability to work under time constraints and competing multiple priorities

Employees must be physically able to work in our collaborative workspace.  Employees are expected to be able to pay high attention to detail and work under demanding deadlines with shifting priorities. They also must be able to work independently with minimal supervision. This role is located onsite in Mississauga. There is a requirement to be flexible to cover shifts that are 8am-8pm ET.  You will be required to work 1 shift/week 12-8.

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

Commercial Loss Control Inspector - (Northern Ontario)

Job Description Summary:

Job Description:

Role Summary
The Loss Control Specialists review various properties on behalf of insurance companies and provide loss prevention recommendations to reduce the frequency and severity of losses arising from fire, crime and liability. As a Loss Control Specialist, you are responsible for assessing properties and determining risks. 

Competencies required to succeed

• Strong customer service orientation
• Excellent communication skills, both written and oral
• Strong self-initiative, prioritization and time management skills
• Well organized and thorough
• Curious and inquisitive with an interest in learning

 
Responsibilities 

• Access the internal systems and take ownership of inspection files 
• Schedule appointments with clients to visually assess the properties (about 10% time allocation) at a mutually convenient time 
• Travel to the properties, tour and assess for risk features (about 50% time allocation)
• While touring the properties, take photographs, measure rooms and the structure, review features such as fire prevention systems, heating equipment, and fuel storage tanks 
• Converse with the owners to understand the history of the property, any risks, and answer any questions they might have 
• Prepare a detailed reports using the internal systems identifying the fundamental construction and equipment details, risk assessment, and replacement cost value (about 40% time allocation)

Accountabilities
To the District Manager:

• Reports have no errors or omission and provide accurate details of assessment results
• Contribute to team’s overall revenue goals
• Continually expand your expertise so you can assess more complex properties.

To the owners of the assessed properties:

• You have the tact and professionalism for convenient, excellent experiences
• Your regularly provide value added services within you role and expertise

 
Education, knowledge and experience required 

• Education in insurance, construction, or engineering will provide a solid technical foundation to recognize and identify construction and equipment details (College diploma or bachelors degree)
• Experience with building codes, fire services, construction and maintenance will be an asset
• Very good computer skills including using a database, typing speed & accuracy, use of short-cuts, and word processing is essential to efficiently and effectively creating reports. 
• Skillful communication techniques for customer service and report writing.
• Experience as an underwriting assessor or in the insurance field preferred.

 
Environment/Work Conditions

• Ability to work autonomously since most of our Loss Control Specialists are home-based.
• Extensive travel is involved within a region/province requiring a valid driver’s license and a reliable vehicle (25%-50%). National runs at least once per year.
• Entering residences requires tact and professionalism and may require appointments to be scheduled in the evenings and on weekends

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. 

#OPTA

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Company:

Opta Precise Services LP

Commercial Loss Control Inspector - (Southwestern Ontario)

Job Description Summary:

Job Description:

Role Summary 
Precise Loss Control Specialists assess various properties on behalf of insurance companies and provide loss prevention recommendations to reduce the frequency and severity of losses arising from fire, crime and liability. They are usually involved in commercial buildings, government facilities and manufacturing plants risks where there are complex processes and many exposures to loss. 

We are the largest risk inspection company in Canada and the only risk inspection company that is truly national in scope. With decades of experience and an expert team of loss control specialists, appraisers, valuation professionals, and risk managers, we provide a broad selection of products and services with the valuable risk information needed to profitably manage property risk portfolios.

At its core, Opta Precise is its people. Together, we deliver world-class service through an uncompromising commitment to quality and innovative business solutions for our customers and stakeholders.
To learn more about Opta Precise Services, please visit https://optaintel.ca/Solutions/Opta-Precise-Services

Responsibilities 
Specifically, our Loss control specialists: 
•Access the internal database and take ownership of assessment files
•Schedule appointments with clients to visually assess the properties (about 10% time allocation) at a mutually convenient time
•Travel to the properties and with property managers, tour and assess for risk features (about 50% time allocation)
•While touring the properties, take photographs, measure rooms and the structure, inspect features such as fire prevention systems, heating equipment, and fuel storage tanks
•Converse with property managers to understand the history of the property, any risks, and answer any questions they might have
•Prepare detailed reports using the internal database identifying the fundamental construction and equipment details, risk assessment, and replacement cost value (about 40% time allocation)

Accountabilities [and to whom] 
 

To the District Manager:
•You complete at least 30-40 field assessment reports completed monthly. Compensation is based on a per inspection rate guide.
•Your reports have no errors or omission
•Your continually expand your expertise so you can assess more complex properties.

 To the owners of the assessed properties:
•You have the tact and professionalism for convenient, excellent experiences
•You regularly provide value added services within role and act as a subject matter expert.

Education, knowledge and experience required:
•Education in insurance, construction, or engineering will provide a solid technical foundation to recognize and identify construction and equipment details (college diploma or bachelor’s degree)
•Experience with building codes, fire services, construction and maintenance will be an asset
•Very good computer skills including using a database, typing speed & accuracy, use of short-cuts, and word processing is essential to efficiently and effectively creating reports. Use of specific software such as Xactimate is a definite asset.
•Skillful communication techniques for customer service and report writing.

Environment & Working Conditions
•Ability to work autonomously since most of our Loss Control Specialists are home-based.
•Extensive travel is involved within a region requiring a valid driver’s license and a reliable vehicle (25%). National trip at least once per year.
•Entering residences requires tact and professionalism and may require appointments to be scheduled in the evenings and on weekends