Claims Specialist responsible for processing claims and invoicing for Veterans Affairs Canada. Role demands accuracy, confidentiality, and responsiveness in claim issue resolution.
About the role
- Multi-line Claims Specialist executing compliant claims handling and service delivery in Canada. Engaging with team members and stakeholders to ensure quality and efficiency in claims resolution and management.
Responsibilities
- Execute and/or coordinate the investigation, documentation, analysis and resolution of multi-line P&C field and desk adjusted claims.
- Handle claims in a quality manner delivering on standards of accuracy, efficiency, customer service and regulatory compliance.
- Proactively manage claim progressions and ensure impactful communications on claim status with members, brokers, and other stakeholders.
- Operate within assigned authority for coverage determinations, claim resolutions, reserving & issuing payments for loss & loss adjustment expenses.
- Minimize avoidable adverse financial development by ensuring initial loss and expense reserves are timely established, reviewed regularly and updated when necessary.
- Appropriately manage vendor partner activities, including but not limited to acting as a Claims Examiner on files with an independent adjuster involved.
- Identify and pursue subrogation recovery opportunities.
- Represent the company in interactions with members and brokers, as well as internal stakeholders in underwriting, product management and finance.
- Collaborate with Underwriting and Risk Management peers on new risks.
- Other relevant responsibilities and tasks as assigned.
Requirements
- 8+ years of prior P&C claims experience.
- A bachelor’s degree is preferred.
- CIP, FCIP or CRM designation is preferred.
- Experience in the high-net-worth industry is an asset.
- Bilingualism in English and French is an asset.
- Proficient in Microsoft applications and industry-specific technology (e.g. Xactimate, Guidewire, etc.).
- Strong relationship management and customer services skills.
- Ability to work independently.
- Ability to travel within assigned territory to members’ homes is required.
- Excellent interpersonal, listening, organizational, written, and oral communication skills.
- Attention to detail, analytical and solid problem-solving skills.
- Ability to demonstrate integrity, exhibit team spirit and enthusiasm, and establish trust and credibility.
- Agile learner who can quickly absorb information and apply it to current business situations.
Benefits
- Opportunities to stretch and grow: your professional and personal development matters to us.
- Clarity and kindness: you can rely on us to be open, honest and supportive.
- Support in good times and bad: we believe in showing up for each other consistently.
- A community that cares: we are committed to sustaining a community in which each person feels cared for as an individual.
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