Senior Claims Analyst

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Senior Claims Analyst

About Facility Association:

Facility Association is an unincorporated non-profit association of insurers. FA operates in Yukon, Nunavut, Northwest Territories, Alberta, Ontario, Nova Scotia, New Brunswick, Prince Edward Island and Newfoundland and Labrador. Every insurer licensed to write automobile liability insurance in these jurisdictions is a member of Facility Association. The affairs and business of FA is managed and controlled by a Board of Directors with authority Canada-wide. The President and CEO is responsible for the day-to-day operations of the organization and management of staff.

Our Purpose:

Facility Association ensures the availability of automobile insurance to owners, lessees and licensed drivers of motor vehicles who are eligible.

Our Mission:

To deliver on our Purpose through the efficient administration of automobile insurance residual market mechanisms; and by providing valued information to our members.

Facility Association strives to enhance market stability through minimizing our market presence and impact, in an effort to provide consumers with the benefits of a healthy and competitive standard insurance market.

About the Role:

Reporting to the Director, Claims, the Senior Claims Analyst is a claims subject matter expert in AB/BI claims who lends their knowledge to develop claim guides and a complete overview of claims that are deemed reportable.

The Senior Claims Analyst:

  • (a) ensures that there is sufficient oversight of the claims to protect the financial interests of the Facility Association (FA) risk sharing pool and the uninsured motorist funds,
  • (b) reviews and monitors all Large Loss claims reported from Members and Servicing Carriers,
  • (c) provides recommendations on claims, and
  • (d) presents information to the Claim Committee and senior leadership.

Responsibilities/Key Activities:

Claims File Management:

  • Review large loss claim files and provide recommendations to Servicing Carriers and Members. o Monitor the investigation, defense and final settlement of the Uninsured Automobile Funds (UAF) and Judgement Recoveries in the Atlantic Provinces and provide technical direction to legal counsel.
  • Monitor the progress and resolution of Run-off claims through the review of regular reports and provide technical guidance and direction to Independent Adjusters.
  • Provide settlement recommendations for approval internally and attend mediations, settlement conferences, etc. as required.
  • Review and process vendor invoices and indemnity submissions on Run Off, FARM Legal Reimbursement, UAF and Judgment Recovery files.
  • Prepare and analyze financial and claims reports, and all financial information associated with claims management including reconciling reserves and payments.

Claims Committee Management:

  • Prepare and present analytical reports, recommendations, and briefing notes to seek advice and/or input from the Claim Committee members on a range of items (ex. complex claims, Claims Guides changes, regulatory issues, etc.).
  • Facilitate discussion with Claims Committee members on industry trends and risk exposures.

Manage Special Projects:

  • Lead and participate in Special Projects within the department or cross-functionally.
  • Conduct research, prepare background information, develop, and implement new/revised process improvements, automation, and modernization and provides input to leadership as needed. o Collaborate with project managers and stakeholders as required.
  • Assist in the development of formal bulletins and memos issued on behalf of the department.
  • Prepare reports for senior management and regulators as required.

Qualifications:

  • Undergraduate Degree or Post-Secondary Diploma or equivalent experience.
  • Chartered Insurance Professional (CIP) Designation or Fellow Chartered Insurance Professional (FCIP) Designation.
  • Certified Risk Manager (CRM) Designation is an asset.

At least 4 to 6 years of relevant experience in one or more of the following areas:

  • Automobile insurance experience across multiple jurisdictions.
  • Prior experience in Bodily Injury and/or Accident Benefits.
  • Strong knowledge of the automobile insurance regulatory environments in all the provinces and territories where FA operates.
  • Advanced proficiency in MS Office (Word, Access, Excel, PowerPoint) and SharePoint.
  • Experience in Tableau is an asset.
  • Excellent verbal and written communication abilities.
  • Strong analytical and problem-solving skills.
  • Excellent time management and organizational skills.
  • Ability to work remotely from home (ex. home, internet, workspace, etc.) and attend on-site as required (at least twice a month).

 If you are interested please send your resume to vanessa@peakperformancehr.com