Job Description

Senior Claims Advocate – TORONTO

Provide service strategy and claim consulting and advocacy services to clients. Claim consultants will be responsible for the quality and consistency of products and services for a book of clients.  They provide growth support, innovation and ensure execution of the strategy.

 

Leadership

• Help develop and execute the strategies of the practice
• Promote and foster the brokerage culture
• Manage the appropriate level of resources for your clients
• Be a visible sign of professionalism and direction for the practice
• Maintain local relationships with all major trading partners
• Participate in meetings and provide ideas and strategies that strengthen the practice

 

Technical

• Directly handle clients as primary consultant including complex consulting and strategy
• Ensure quality and consistency in executing Best Practices
• Engage our global network of professionals as needed
• Appropriate utilization of all systems as required
• Work with others as necessary to continually improve quality and innovation
• Monitor the performance of trading partner’s services for your clients

 

Growth and Retention

• Support new business with sales presentations and RFP
• Participate in strategic large client meetings as required
• Manage the quality and appropriateness of client service agreements
• Ensure practice strategy alignment with brokerage business plans
• Regularly meet with executives to ensure delivery alignment
• Maintain direct relationships with key clients
• Ensure appropriate program design and documentation – service scope aligns
• Ensure appropriate internal and client communications

 

Qualifications:

 

• 4 year’s college degree required; a Business related field is highly preferred.  Additional level(s) of education and or Law Degree are a plus.
• Minimum of 5 years’ experience in a Claim position with some prior experience working at an insurance carrier or third-party administrator preferred
• CPCU, or AIC, or ARM within 3 years of obtaining this position or 5 years or more insurance industry experience exempt
• Complex GL/Products, Auto Liability experience, strongly preferred
• Must have appropriate licenses in Canada
• Knowledge of Claim Handling & Claim processes and procedures
• Understand medical case management and cost containment programs
• Knowledge of laws, legal codes, procedures and processes involving insurance
• Analyze data and provide concise conclusions; communicate orally and in writing, and display versatility in working with different personalities
• Evaluate information against a set of standards to verify compliance; handle complaints, arbitrate disputes and negotiate settlements, and handle multiple tasks simultaneously
• Obtain relevant information; analyze and report financial data, and communicate technical information orally and in writing
• Effectively communicate with senior management; evaluate information against a set of standards to verify correctness, and handle complaints, arbitrate disputes, and negotiate alternative solutions
• Handle multiple tasks simultaneously; obtain relevant technical information to support decision making or selling risk improvement programs, and work independently
• Computer skills relevant to Microsoft Office, Outlook, and web-based applications
• Interpersonal relationship skills with internal and external executives
• Project management skills
• Understand company products, services, global network, and industry practices
• Understand the process and value of basic data analytics and benchmarking

How to Apply

Job Categories: Claims. Job Types: Full-Time. Salaries: 100,000 and above.

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