Claims Leader, Bodily Injury

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Job Title: Leader, Bodily Injury

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:

Reporting to the Manager, Casualty, you will support the achievement of the organization’s corporate goals, strategy, business plans and budgets. You are accountable for the effective and efficient operation of the Bodily Injury team to achieve maximum results, efficiencies, and performance through effective leadership. In your role, you will demonstrate strong people leadership, knowledge, and application of industry/claims best practices, that link to the goals of the organization. This position provides leadership and direction to employees in compliance with the claims policies and procedures set out by the organization and drives performance and exceptional member experience.

 

Who you are:

 

 

How you will create an impact:

References will be made to internal Claims manuals, DEC pages, Property policy wordings, Occupiers Liability Act, Fault Determination Rules, Criminal Code of Canada, Insurance Act, FSRA decisions, Case Law digest, Reserve Philosophy, Vendor guidelines, Investigator guidelines, Statutory Conditions, Authority guidelines, relevant Associations documents, and compliance procedures to assist in decision making process.

Management will be consulted on matters that require additional assistance or approval. Consequences of incorrect information or inappropriate decisions can place stress on department employees and the claimants, can put the Company in danger of claims risks and loss payments, hinder customer service for insured’s, increased expenditures, bad faith claims, and legal ramifications. Disintegration of business relationships and reputation may occur with discomfiture to the company and decreased business profits. Due to the nature of this position, accountability is paramount. All measures will be taken to ensure accountability and confidentiality is maintained.

  • Demonstration of interpretation and understanding of professional reports including summary opinions and prognosis as relevant to claim
  • Ability to develop, coordinate, lead and deliver appropriate technical training programs and sessions for internal staff and external partners including brokers
  • Ability to develop relevant agendas and facilitate department and team meetings
  • Ability leading and coordinating technical audits on related claim files, complete process confirmations and prepare audit reports with recommendations and observations
  • Knowledge in the development and revisions of claims procedure bulletins
  • Ability to formulate and produce effective and meaningful management report
  • Ability to demonstrate strength in the fair and responsible evaluation of employee performance, including the development and overseeing of action/performance improvement plans
  • Build and maintain strong working relationships with all levels of leadership and use influence and negotiation skills to gain support, achieve consensus and foster engagement.
  • Conducting ongoing review and analysis of potential risks relevant to claims, recommending mitigation options and implementing agreed upon strategies.
  • Lead key initiatives within the claims team, providing input, direction, plan, monitors outcomes and defines success.
  • Accountable for the ongoing support of recruitment and selection process for the claims team.
  • Liaise with industry regulatory bodies and reinsurers to communicate information, coordinate changes and resolve areas of concern.
  • Assists in the negotiation of settlements with insureds, third parties, claimants, lawyers on behalf of the team
  • Oversees resolution of disputes presented by dissatisfied claimants when necessary
  • Approve denials and reserve increases over authority levels
  • Ensue completeness of Committee Forms and attend Committee meetings as required
  • Point of contact for external auditors
  • Leads and/or participates in projects/new initiatives as required
  • Monitors Bodily Injury Adjuster Claim Count and Pending
  • Assist with the development, implementation and communication of corporate goals and objectives to support the business plan
  • Lead, develop and mentor direct reports ensuring appropriate succession plans are created and professional development plans are in progress where appropriate
  • Drives continuous improvement, standardization, and process efficiencies in ongoing leadership routines
  • At times, you will be responsible for handling complex BI claims and supporting other claims leaders and teams when catastrophic events occur.

 

What you will bring:

  • 5 - 7 years experience in P&C insurance with direct experience in Bodily Injury claims handling and leading teams
  • Post secondary education combined with relevant work experience is considered an asset
  • Completion or working towards Certified Insurance Professional/ Fellowship Certified Insurance Professional designation is an asset
  • Superior problem solving and analytical skills, balanced with strong decision-making abilities
  • Proven success in leading and inspiring others through vision, values, and community
  • Proven superior organizational skills and ability to multitask is required.
  • Excellent communication and interpersonal skills with all levels of employees
  • Ability to manage complex situations utilizing critical thinking skills
  • Works within budgetary guidelines to maintain appropriate financial and administration controls within the Claims department
  • Good mathematical skills are required with the ability to perform complex calculations and develop complex spreadsheets to assess payable benefits and interest calculations
  • Thorough attention to detail is a must to ensure accuracy of claims documents
  • Effective communication skills: verbal, non-verbal and written
  • Sound morals, ethic, and confidentiality with ability to develop trusting and effective working relationships with employees and outside contacts
  • Exercise of confidentiality and empathy are required when dealing with insured and claimants
  • Ability to delegate and provide clear direction with the appropriate levels of follow-up
  • Ability to conceptualize and develop new ideas and ways of doing things when supporting cross functional areas
  • High level of critical and logical thinking, analysis, and/or reasoning to identify underlying principles, reasons, or facts.
  • Strong computer literacy, proficiency in all Microsoft Office programs and Internet navigation

 

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!