Bodily Injury Claims Specialist

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Job title: Bodily Injury Claims Specialist

Job location: Remote

 

Who we are:

The Commonwell Mutual Insurance Group is not just another insurance company; we are a P&C Mutual company with solid grass roots within our community. We’re proud to be a leader within the P&C industry offering a Mutual experience rich with history, opportunity and exceptional customer service. We are committed to profitable growth, team development, ingenuity, build on strong connections in our remote first work environment. We encourage a work-life balance and we are serious about what we do.

Our promise to you:

Here at The Commonwell, we are all about Protecting Individuals, Together! Our vision is to continue to build an environment that develops and attracts the very best by empowering everyone to foster a workplace where everyone can perform at their very best, be their authentic self and bring their whole self to work.

The Opportunity:

The purpose of this position is to review, analyze, negotiate, and settle moderate to complex claims related to Property, Commercial, Liability and Auto liability losses. The incumbent is responsible for investigating these losses where necessary as well as assigning the appropriate independent adjuster and relevant experts to assist in the effective management and resolution of the claim.

Who you are:

  • Supports the technical development of support staff within the claims department through training and mentorship
  • Active working relationship within other cross functional claims lines

 

How you will create an impact:

  • Accountable for claims at all transaction levels including, coverage interpretation, evaluation, reserve adjustments, payments, written and verbal communication, expert requirements, and internal reporting requirements
  • Consults as required for authority requests with respect to payments and      incurred costs handling.
  • Supports, where required, the Underwriting and Finance department on claim development, explanation and risk considerations
  • Reviews claims queries and complaints and taking action where necessary
  • Receives support, where required, in managing complex queries or complaints

 

 

 

What you will bring:

  • Completion of Post-Secondary Education or equivalent experience
  • Prior experience in customer service
  • Working towards, or completion of the CIP designation, and an active pursuer of the necessary education to respond to a changing marketplace
  • Great organizational skills and ability to multi-task is required
  • Thorough attention to detail to ensure accuracy of claims documents, policy coverage interpretation and recognition of financial exposure
  • Ability to perform moderate mathematical calculations is required
  • Effective communication skills: verbal, non-verbal and written
  • Sound morals, ethics and confidentiality with ability to develop trusting and effective working relationships with peers and employees
  • Ability to exercise confidentiality and empathy are required when interacting and supporting insureds and claimants
  • Strong problem-solving skills and negotiation skills are required for this position
  • Strong computer literacy including proficiency in all Microsoft Office programs and Internet navigation
  • Strong team player with strong work ethic, and the ability to engage with all levels of the organization
  • Working knowledge of reading and interpreting all relevant policy wordings
  • Working understanding of other relevant regulations, including the Insurance Act, Occupiers Liability Act, Dog Owners Liability Act and Case Law decisions, requiring some support in interpretation
  • Working understanding of reinsurance restrictions of the reinsurance treaty
  • Working understanding of reserve calculation and exposure
  • Working knowledge of how to assess future care costs, future loss of income and structured settlements
  • Working understanding of how to review and interpret medical reports, clinical notes and insurer examination reports

 

Perks of being a Commonwell Crew Member:

  • Remote work environment
  • Flexible Work arrangements
  • Competitive Compensation Package
  • Training and Development Opportunities
  • Pension and savings programs
  • Paid volunteer days
  • Wellness and Recognition programs/Platforms

JOIN THE #Commonwell Crew! We saved you a spot!