Technical Claims Consultant

Posted Yesterday
Be an Early Applicant
2 Locations
In-Office
73K-121K Annually
Senior level
Fintech • Software • Financial Services
The Role
Provide technical claims consultation and coaching to claims supervisors, research and apply case law, support training as a subject matter expert, analyze claims trends, assist leadership with escalations and policy compliance, and help implement processes that improve client service and operational performance.
Summary Generated by Built In

#IN-DNI #LI-DNI

Company: CGIC
Department: Claims
Employment Type: Regular Full-Time
Work Model: Hybrid (2 days in office)
Language: This role operates in English.


The Opportunity:

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy.  That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose.  The best part is that you will work with people that care passionately about you, our clients and our communities.

As the Technical Claims Consultant, you will provide direction and support with respect to technical claims management for their assigned discipline. You are responsible to contribute to the development of related technical claims training, resources, and communication, as well as monitoring claims handling practices through audits and analysis. You are responsible for the training and to provide technical support and coaching to the Technical Claims Supervisor. You are accountable to work in collaboration with claims team and leaders to deliver on objectives and client service expectations for their discipline.


How you will create impact: 
  • Providing technical consultation and coaching to Claims Supervisors to support sound decision making for claims, litigation management, policy interpretation, policy violations, quantum, assessment, negotiation, and settlement of claims in accordance with legislation and company guidelines.
  • Pursuing, applying and regularly researching case law to specific facts and share with technical teams.
  • Participating in learning programs for the discipline as a Subject Matter Expert.
  • Supporting with data and trend analysis including monitoring and collaborative action planning established by leadership.
  • Identifying specific trends, legal issues, legislation and convey this information to stakeholders and cross discipline teams.
  • Assisting the leadership team in resolving technical conflicts and client escalations.
  • Supporting the execution of operational policies and procedures to ensure compliance with company, government, and legislative standards.
  • Working collaboratively with stakeholders to implement business processes which enhance client engagement, support profitability, and enrich staff engagement.

To join our team:  
  • You have 5-7 years of discipline specific experience within the insurance industry or other related fields.
  • You have a post-secondary education or related discipline.
  • You have or are working towards the Fellow Chartered Insurance Professional (FCIP) or Chartered Insurance Professional (CIP).
  • You have advanced knowledge of policy wording, legislation, and regulations.
  • You have an ability to use metrics and analytical tools to take action on identified opportunities and trends.

How you will succeed:
  • You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs.
  • You use critical thinking skills to recognize assumptions, evaluate arguments, draw conclusions and proactively propose solutions.
  • You have strong communication skills to clearly convey messages and explore diverse points of view.
  • You build trusting relationships and provide guidance to support the development of colleagues.

What you need to know:
  • You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.

What’s in it for you?
  • Training and development opportunities to grow your career.
  • Flexible work options and paid time off to support your personal and family needs.
  • A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
  • Paid volunteer days to give back to your community.
  • In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.

 

Salary information

Expected salary range $72,847 - $121,411 (min-max, full range).

Salary placement

The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.​

Incentive/Variable pay

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.

Skills Required

  • 5-7 years of discipline specific experience within the insurance industry or related fields
  • Post-secondary education or related discipline
  • Have or working towards Fellow Chartered Insurance Professional (FCIP) or Chartered Insurance Professional (CIP)
  • Advanced knowledge of policy wording, legislation, and regulations
  • Ability to use metrics and analytical tools to identify opportunities and trends
  • Successful completion of background check as a condition of employment
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The Company
HQ: Guelph, Ontario
7,516 Employees
Year Founded: 1945

What We Do

As a leading Canadian financial services co-operative, Co-operators offers multi-line insurance and wealth products, services, and advice to build financial strength and security. With over $56 billion in assets under management, we provide financial solutions and security through property and casualty (P&C) insurance, life insurance, wealth management, institutional asset management and brokerage operations. We are governed by member organizations, including co-operative organizations, credit union centrals and representative farm organizations. We are rooted in the idea that together, we are stronger, safer, and more resilient. Our vision to be a catalyst for a sustainable society is reflected in everything we do, including our community investment programs, strategic partnerships, and active volunteerism. We champion and fund the development of community-oriented co-operatives and social enterprises, invest for positive impact, and work hard to contribute to communities across Canada by supporting financial literacy, mental health, flood safety, and sustainability initiatives and programming. With over 600 locations across the country, over 6,000 employees and a dedicated financial advisor network of over 2,500 licensed insurance representatives, we remain true to our roots: putting the needs of our clients and our communities first. Our response to COVID-19 As an essential service, we took immediate steps to ensure the health and safety of our people, clients, and communities. We’re following the direction of Health Canada as we roll out a phased return to corporate and local offices across the country. If you have applied for a posted role, a recruiter will be in touch with an update. Currently, all interviews are being conducted remotely.

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