BD – Bilingual Order Management & Claims Specialist (3-month contract) – Oakville, ON

Company: BD

Location: Oakville, ON

Expected salary:

Job date: Sun, 09 Mar 2025 07:48:00 GMT

Job description: Job Description SummaryJob DescriptionWe are the makers of possibleBD is one of the largest global medical technology companies in the world. Advancing the world of health™ is our Purpose, and it’s no small feat. It takes the imagination and passion of all of us—from design and engineering to the manufacturing and marketing of our billions of MedTech products per year—to look at the impossible and find transformative solutions that turn dreams into possibilities.We believe that the human element, across our global teams, is what allows us to continually evolve. Join us and discover an environment in which you’ll be supported to learn, grow and become your best self. Become a maker of possible with us.As the Bilingual Order Management & Claims Specialist (3-month contract), you will be working on a project consisting of clearing a backlog of customer requests. These requests include but are not limited to order processing, claims, order status, credits and rebills. You will be reviewing and updating our customer requests in Salesforce and actioning corresponding transactions in JD Edwards (JDE). You will be expected to have advanced knowledge of JDE, Salesforce and EDI functionality to be able to contribute as quickly as possible. This role is for a 3-month fixed term part-time contract, based in our office located in Mississauga, ON.Job Responsibilities:Review, process, update and close aged Customer Care cases in Salesforce.Process orders, credits, rebills, RMAs and order management and claims related transactions in JDE.Collect information and initiate product and service complaints in compliance with departmental and Health Canada timelines.Communicate and collaborate with customers via phone and email to identify and resolve concerns.Review EDI errors and update configuration to improve touchless transmissions.Education and Experience:Minimum 10 years of Customer Service experience in the Medical Device industry required.JD Edwards advanced user.Strong proficiency in Salesforce, specifically Customer Care case management and claims modules.Extensive knowledge of order management requirements and claims processing within the Medical Device industry.Proficient with Microsoft Office tools (Outlook, Excel, Word, etc.).Bachelor’s degree or College Diploma.Fluency in French and English (reading, speaking, and writing).Knowledge and Skills:Ability to multitask and prioritize workload.Demonstrated problem-solving, critical thinking and analytical skills.Strives in a fast paced, dynamic environment and under pressure.Flexibility and ability to balance multiple priorities and able to work within short timelines.Ability to switch priorities and operating methods on the fly to adapt to business and customer needs.At BD, we prioritize on-site collaboration because we believe it fosters creativity, innovation, and effective problem-solving, which are essential in the fast-paced healthcare industry. For most roles, we require a minimum of 4 days of in-office presence per week to maintain our culture of excellence and ensure smooth operations, while also recognizing the importance of flexibility and work-life balance. Remote or field-based positions will have different workplace arrangements which will be indicated in the job posting.For certain roles at BD, employment is contingent upon the Company’s receipt of sufficient proof that you are fully vaccinated against COVID-19. In some locations, testing for COVID-19 may be available and/or required. Consistent with BD’s Workplace Accommodations Policy, requests for accommodation will be considered pursuant to applicable law.Why Join Us?A career at BD means being part of a team that values your opinions and contributions and that encourages you to bring your authentic self to work. It’s also a place where we help each other be great, we do what’s right, we hold each other accountable, and learn and improve every day.To find purpose in the possibilities, we need people who can see the bigger picture, who understand the human story that underpins everything we do. We welcome people with the imagination and drive to help us reinvent the future of health. At BD, you’ll discover a culture in which you can learn, grow and thrive. And find satisfaction in doing your part to make the world a better place.To learn more about BD visitGreat Place to Work® has certified our workplace culture based on your feedback in the Trust Index® survey, and we’ve just published the news about us on their social media channels. You can check these out here. And if you think your friends and networks would be interested in knowing more about your workplace, sharing these posts is a great way to give them some insight!Becton Dickinson is an Equal Opportunity Employer. We encourage applications from individuals with a wide range of abilities and provide an accessible candidate experience. In accordance with the Accessibility for Ontarians with Disabilities Act, 2005, the Accessible British Columbia Act, 2021, and any other applicable legislation, including provincial human rights legislation, Becton Dickinson will provide reasonable accommodations to applicants with disabilities throughout the recruitment, selection, and/or assessment process. If selected to participate in the recruitment, selection, and/or assessment process, please inform us of any accommodation(s) you require by contacting HR at 1-855-234-3577.Required SkillsOptional Skills.Primary Work Location CAN ON – OakvilleAdditional LocationsWork Shift

Zurich – Claims Training Program – Multiple Positions – Toronto, ON

Company: Zurich

Location: Toronto, ON

Expected salary:

Job date: Sat, 08 Mar 2025 00:54:38 GMT

Job description: The OpportunityAre you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global insurance provider in the world? Look no further than Zurich Canada.Zurich is currently hiring for our Claims Training Program in our Toronto office.Zurich’s Claims Training Program is an entry level opportunity for individuals with the drive to become successful members of our claims team. This is an exciting opportunity to begin a career in Commercial Insurance! You will learn all aspects of handling claims by following Zurich’s best practices.Our Claims Training program will start in June 2025. Training will include onboarding within the local office supplemented with classroom training and on-the-job development during the duration of the program. Your classroom training will provide the technical tools needed in the role. You will also learn how to apply your knowledge to ensure you understand how we “deliver when it matters most.” You will progressively build your skills as you are introduced to more complex Claims, case studies and skill-building exercises that help you understand how to work both internally and with our customers.We offer opportunities across multiple business areas, including:

  • General Liability
  • Property
  • Specialties

This position will be closely supervised and work within narrowly defined limits of authority providing a high level of customer service to our insureds and claimants. After an initial period of training, this position will handle low complexity claims. Participants go through a structured 12-month training program that gives them the technical and real-life perspective to understand the “Zurich Way of Claims.”We select team players who are strategic thinkers, creative and confident risk-takers to participate in the program.Here is what you can expect as a colleague of the Claims organization at Zurich Canada:

  • Be part of an internal career path and engage in active and continuous conversations with leadership to develop a plan that enables your growth into a knowledgeable professional in claims handling
  • Learn technical claims excellence and industry best practices from experienced managers, leaders and other claims professionals in order to have long term opportunity and development across the Claims organization
  • Interact with colleagues from diverse experience and backgrounds in a team environment
  • Develop partnerships across organizational levels and functions
  • Invest in your career development with support for additional insurance designations and coursework

What you bring to the tableRequired:

  • Bachelor’s Degree and No prior experience required in the Customer Service area OR
  • High School Diploma or Equivalent and 2 or more years of experience in the Customer Service area

AND

  • Must obtain and retain required Adjuster license
  • Be legally eligible to work in Canada

Preferred Qualifications:

  • Cumulative GPA of 3.0 or higher on a 4.0 scale
  • Leadership and involvement in extracurricular activities and on campus organizations and/or community, public service or similar activities
  • Corporate internship experience or corporate work experience
  • Strong interpersonal and communication skills
  • Time management skills
  • Microsoft Office skills
  • High learning agility
  • Analytical aptitude
  • Willingness to embrace the Zurich Basics of Integrity, Sustainability, Customer centricity, Excellence, and Teamwork

Our CultureAt Zurich, we are proud of our culture. We are passionate about Diversity, Inclusion, Equity and Belonging (DEIB). We want you to bring your whole self to work, and we want our employees to be reflective of the communities in which we live and work. Our DEIB initiatives are creating an environment where everyone feels welcome.

  • We have a collaborative culture where diversity of thought is valued. We value your input and strive to give our employees the tools they need to make an impact.
  • We care about our employees’ well-being and offer a comprehensive health/benefits plan with varying levels of coverage to suit your specific needs and a competitive total compensation package.
  • We understand how important it is to rest, recharge and do the things you love. At Zurich, all employees receive a minimum of four weeks of vacation per year to do just that.
  • We also understand that employees require time off for personal reasons. Maybe you have an appointment during a workday, a cultural or religious holiday you would like to observe, or you need time off to focus on your mental health. Zurich employees receive four personal days per year to be used at their discretion.
  • We are committed to continuous improvement, and offer access to a comprehensive range of training and development opportunities.
  • We care about our communities. Our communities are where our customers, people, and shareholders live and work. While we can be proud of the contribution to society Zurich makes through our core business of insurance, we must also give back to our communities through our talent, time and resources.
  • We have won numerous awards for our workplace culture. We are proud to be one of Greater Toronto’s Top Employers and to have received Insurance Business Canada’s 5-Star Diversity, Equity and Inclusion Award.

Make a difference. Be challenged. Be inspired. Be supported. Love what you do. Work for us.About UsZurich Canada is part of the Zurich Insurance Group, a multi-line insurer with approximately 55,000 employees worldwide serving customers in global and local markets. Zurich Canada has been a leading insurance provider serving mid-sized and large companies, including multinational corporations, in the Canadian commercial market for 100 years. With over 500 employees in offices across the country, Zurich offers the global strength of a top insurance provider combined with in-depth knowledge of industries and local markets. Zurich Canada aspires to be risk management professionals’ first choice as their premier partner to help meet the risk challenges of today and tomorrow. Read more at www.zurichcanada.com.

SCM Insurance Services – Bilingual Claims Service Representative, *Remote work* Full-Time, *Anywhere in Canada* (Mississauga, ON) – Mississauga, ON

Company: SCM Insurance Services

Location: Mississauga, ON

Expected salary:

Job date: Sat, 01 Mar 2025 23:55:27 GMT

Job description: Company: ClaimsPro LPBilingual Claims Service Representative, *Remote work* Full-Time, *Anywhere in Canada* (Mississauga, ON)Role SummaryProvide immediate and customer-focused assistance to policyholders who are calling to report insurance claims. Document initial loss details and activities to ensure that callers experience timely and service oriented disposition of calls. Make determination based on protocol if immediate adjuster attention is required and coordinate with vendors as required.

  • In order to work remotely, you will require High Speed Internet. (Download and Upload speed must both be at a minimum of 50 mbps)
  • Weekend Shifts are Mandatory​
  • Please note that this position requires shift work on a seven (7) day rotating basis with an 8 hour shift between the hours of 7am to 12am.

*Only candidates fully bilingual in French and English will be considered
*This is a full-time opportunity, and will require 37.5 hours of work per week.** Preference will be given to candidates who have successfully completed the following Insurance Institute courses – Essentials of Loss Adjusting (C110), Automobile (C14), Property (C12) and Principles and Practices (C11) **Competencies required to succeed

  • Strong communication skills
  • Team player with a strong commitment to quality and customer service
  • Excellent time management and organizational skills
  • Pleasant and friendly mannerism
  • Ability to treat people with respect under all circumstances, instill trust in others besides upholding the values of the organization
  • Sound judgmental powers; ability to manage difficult customer situations, to respond promptly to the needs of the customer, solicit feedback to improve service, respond to requests for service/assistance
  • Ability to adapt to change, meet the changing demands of the work environment, any delays or other unexpected demands.
  • Dependability; to follow instructions as well as take responsibility for their actions and also keep commitments
  • Quality management- look for means of improving as well as promoting quality
  • High level of motivation
  • A sound knowledge of telephone etiquette

Responsibilities

  • Review ECS call report and ensure call has terminated properly and forward accurate and complete call reports as required.
  • Provide personalized customer service of the highest level
  • Arrange for the dispatch of adjusters or vendor partners when required
  • Field and answer branch inquiries and administer to ECS menu
  • Maintain data base of service lapses reference for root cause, report trends and make recommendations to management
  • Review claim information to determine proper next steps for processing against client guidelines/ service agreements

Education, knowledge and experience required

  • Post secondary education
  • Minimum 1 year administrative experience
  • Knowledge of insurance/service industry or related experience preferred
  • Strong computer and telephone skills with an aptitude/ability to learn
  • Effective communication skills both written and verbal in English and French
  • Attention to detail

Environment/Work Conditions
SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment processUnsolicited Outreach Statement – Recruitment AgenciesSCM Insurance Services (SCM) and its affiliated companies will not accept unsolicited resume submittals from third- party recruiters and hereby request agencies to not contact SCM employees or managers directly to present candidates. Be advised SCM will NOT pay a fee for any placement resulting from the receipt of an unsolicited resume and will consider any unsolicited resumes forwarded public information. SCM welcomes resumes submitted directly from candidates.

SCM Insurance Services – Senior Liability Claims Examiner – Full Time (Remote, Anywhere in Canada) – Toronto, ON

Company: SCM Insurance Services

Location: Toronto, ON

Expected salary:

Job date: Tue, 04 Mar 2025 23:43:38 GMT

Job description: Company: ClaimsPro LP – International Programs GroupSenior Liability Claims Examiner – Full Time (Remote, Anywhere in Canada)International Programs Group (IPG) is an independent third-party claims administrator which provides claims services for Lloyd’s of London syndicates, domestic insurers, self-insured entities, or organizations with high deductibles or self-insured retention. We are currently seeking a Liability Examiner.Today, IPG works with Canada’s largest network of independent adjusting firms across the country. Operating out of Toronto, Montreal, and Vancouver, each IPG office is staffed with specialized senior examiners and qualified desktop examiners. We have regional expertise and are licensed in all Canadian provinces. The successful candidate will work within IPG, a company of opportunity and excitement – we are looking for the right candidate to join us!Although intended to be a remote work opportunity, this position may require attendance to the office for training, client meetings, or team meetings with ample notification.Role Responsibilities:

  • Act as an examiner for various Lloyds accounts which involves providing prompt, fair, quality claims service to clients.
  • Examine complex liability claims.
  • Direct Field Adjusters on assignment investigations
  • Settle claims directly with claimants or their representatives
  • Administer claims payments/settlements through trust accounts
  • Liaise with all stakeholders to insure client’s needs are met

Qualifications & Experience:While licensing and experience are critical to being able to handle significant examining tasks for a TPA, we are looking for individuals with a demonstrated and proven track record of performance. You will have to be strong technically, a solid planner and organizer, and understand key issues plus provide solid solutions. You will have to be motivated to do this type of work and be excited by the challenges that a rapidly growing organization faces.We will also consider the following:

  • Your education, with relevant post-secondary education being an asset
  • Your completed CIP courses, or working towards CIP designation
  • Your ability to hold an independent adjusting license
  • Your 7-10 years’ experience delivering relevant claims adjusting and/or examining work
  • Exposure to the Lloyd’s market would be an asset
  • Your experience positively contributing to a high-performing team
  • Examples of your strong aptitude and ability to work with technology
  • Your attention to detail and your ability to communicate professionally

​C​ompetencies:

  • Individual must demonstrate the ability to direct adjusters of all levels and work effectively in a team environment
  • Previously demonstrated ability to communicate effectively with both internal and external associates, written and oral techniques
  • A positive, “can do” attitude and customer service approach ensuring all inquiries are effectively dealt with in a timely manner
  • Strong analytical, problem solving and organizational skills
  • Demonstrated ability to be proactive in identifying and implementing solutions
  • Proven ability to multi-task in a fast paced and demanding environment
  • Exceptional computer skills. Ability to navigate various systems, proficient in MS Office and work in a paperless environment.

What We Offer:

  • Competitive Pay
  • Work-Life Balance
  • Remote Working Opportunities
  • E-flex Benefits Program
  • Wellness Programs
  • Registered Retirement Savings Plan (RRSP), including a 2% match for full-time employees
  • Training and Career Development Opportunities
  • Employee Referral Bonuses
  • Employee Recognition Program
  • Employee Perks (access to vendor discount programs)
  • Reimbursement for Adjusting Licenses and Dues

SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.SCM Insurance Services (SCM) and its affiliated companies will not accept unsolicited resume submittals from third- party recruiters and hereby request agencies to not contact SCM employees or managers directly to present candidates. Be advised SCM will NOT pay a fee for any placement resulting from the receipt of an unsolicited resume and will consider any unsolicited resumes forwarded public information. SCM welcomes resumes submitted directly from candidates.

Royal Bank of Canada – Bilingual Disability Claims Specialist, Group Insurance – Mississauga, ON

Company: Royal Bank of Canada

Location: Mississauga, ON

Expected salary:

Job date: Wed, 12 Feb 2025 23:09:58 GMT

Job description: Job SummaryJob DescriptionWhat is the opportunity?Remote work available in the following provinces: Quebec, Ontario, New-Brunswick, Nova Scotia, Alberta, Manitoba and Prince Edward Island.As a Bilingual Disability Claims Specialist, you will adjudicate and manage Group disability claims in a team-oriented, multi-disciplinary, and digital environment. You will be responsible for ensuring claims are adjudicated and paid in accordance with policy and unit procedures, while delivering superior client service. You will be required to apply appropriate risk management strategies which impact the company’s financial results, reputation and regulatory risks, client relationships, and business retention.What will you do?Adjudicate French and English claims by utilizing a multidisciplinary claim management model to ensure objective, fair and thorough claim adjudication, while complying with policy provisions, procedures and regulatory requirementsProvide the highest level of customer service and manage reputational riskManage a large caseload of disability claims, calculate benefit payments and implement claims management and return to work strategiesRender decisions on a timely basis and effectively communicate these decisions, at times potentially difficult decisions and manage escalations with employers and claimants.Document and implement the appropriate next steps while effectively applying the adjudication processBuild effective relationships with key stakeholders and claimants to support recovery and return to workGiven the very sensitive nature of the information gathered in the adjudication process, extreme care must be exercised in the handling of a claim in order to guard against any breach of confidentialityEffectively communicate and build rapport with team members, stakeholders and business partners using a variety of techniques and collaboration from claim initiation to resolutionWhat will you need to succeed?
Must-havePost-secondary education, preferably in healthcare or a related field, and minimum 2(two) years of Short Term or Long-Term Disability claims adjudication experienceBilingualism (English and French) required, as you will regularly serve our clients and do business with RBC partners and/or employees across Canada with English and French speaking needs.High level of writing in French and EnglishStrong analytical, critical thinking and decision-making skills, with the ability to multitask and balance multiple goals and prioritiesExcellent customer service and telephone skills with the ability to communicate complex and difficult information with professionalism and empathy, including phone calls with client who may be emotional or have mental health conditionsAbility to work independently in a structured environment, as a Remote Office Employee (ROE), working in your home office with proven time management, organizational and problem-solving skills & must be able to meet with the technological and confidentiality requirements of the role (i.e., private, and quiet space, Internet connectivity, etc.)What’s in it for you?We thrive on the challenge to be our best, progressive thinking to keep growing, and working together to deliver trusted advice to help our clients thrive and communities prosper. We care about each other, reaching our potential, making a difference to our communities, and achieving success that is mutual.A Total Rewards program that includes flexible benefits, work/life balance and career development programs and investment and retirement savings plansCompetitive pay and high-earning potentialAll the tools, training, and team support you need to grow your careerFlexible work/life balance optionsSophisticated RBCI software tools to boost your productivityRBC is committed to supporting flexible work arrangements when and where available. Details to be discussed with Hiring Manager.Job Skills Active Learning, Coverage Analysis, Critical Thinking, Customer Service, Insurance Claims Investigations, Insurance Operations, Insurance Product Development, Knowledge of Claims, Long Term Planning, Settlement NegotiationsAdditional Job DetailsAddress: MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR:MISSISSAUGACity: MISSISSAUGACountry: CanadaWork hours/week: 37.5Employment Type: Full timePlatform: INSURANCEJob Type: RegularPay Type: SalariedPosted Date: 2025-02-11Application Deadline: 2025-04-04Note: Applications will be accepted until 11:59 PM on the day prior to the application deadline date aboveInclusion and Equal Opportunity EmploymentAt RBC, we embrace diversity and inclusion for innovation and growth. We are committed to building inclusive teams and an equitable workplace for our employees to bring their true selves to work. We are taking actions to tackle issues of inequity and systemic bias to support our diverse talent, clients and communities.We also strive to provide an accessible candidate experience for our prospective employees with different abilities. Please let us know if you need any accommodations during the recruitment process.Join our Talent CommunityStay in-the-know about great career opportunities at RBC. Sign up and get customized info on our latest jobs, career tips and Recruitment events that matter to you.Expand your limits and create a new future together at RBC. Find out how we use our passion and drive to enhance the well-being of our clients and communities at .

Royal Bank of Canada – Disability Claims Analyst, Group Insurance – Mississauga, ON

Company: Royal Bank of Canada

Location: Mississauga, ON

Expected salary:

Job date: Thu, 13 Feb 2025 00:26:22 GMT

Job description: Job SummaryJob DescriptionWhat is the opportunity?Remote work available in the following provinces: Ontario, New-Brunswick, Nova Scotia, Alberta, Manitoba and Prince Edward Island.As a Disability Claims Analyst you will adjudicate and manage disability claims in a team-oriented, multi-disciplinary, and digital environment. You will be responsible for ensuring claims are recertified and paid in accordance with policy and unit procedures, while delivering superior client service. You will be required to apply appropriate risk management strategies which impact the company’s financial results, reputation and regulatory risks, client relationships, and business retention.What will you do?Adjudicate claims by utilizing a multidisciplinary claim management model to ensure objective, fair and thorough claim adjudication, while complying with policy provisions, procedures and regulatory requirementsProvide the highest level of customer service and manage reputational riskManage a large caseload of disability claims, calculate benefit payments and implement claims management and return to work strategies, where warrantedProfessionally communicate approval or denial decisions to clientsGiven the very sensitive nature of the information gathered in the adjudication process, extreme care must be exercised in the handling of a claim in order to guard against any breach of confidentialityEffectively communicate and build rapport with team members, stakeholders and business partners using a variety of techniques and collaboration from initiation to closeWhat will you need to succeed?Must-havePost-secondary education, preferably in healthcare or related field, or related work experienceFluency in English, both oral and writtenStrong analytical, critical thinking and decision-making skills, with the ability to multitask and balance multiple goals and prioritiesExcellent customer service and telephone skills with the ability to communicate complex and difficult information with professionalism and empathy, including phone calls with client who may be emotional or have mental health conditionsAbility to work independently in a structured environment, as a Remote Office Employee (ROE), working in your home office with proven time management, organizational and problem-solving skills & must be able to meet with the technological and confidentiality requirements of the role (i.e., private and quiet space, Internet connectivity, etc.)Nice-to-haveAbility to effectively manage changeProven disability claims experience, ideally in Group Disability ClaimsWhat’s in it for you?We thrive on the challenge to be our best, progressive thinking to keep growing, and working together to deliver trusted advice to help our clients thrive and communities prosper. We care about each other, reaching our potential, making a difference to our communities, and achieving success that is mutual.A Total Rewards program that includes flexible benefits, work/life balance and career development programs and investment and retirement savings plansCompetitive pay and high-earning potentialAll the tools, training, and team support you need to grow your careerFlexible work/life balance optionsSophisticated RBCI software tools to boost your productivityRBC is committed to supporting flexible work arrangements when and where available. Details to be discussed with Hiring ManagerJob Skills Active Learning, Coverage Analysis, Critical Thinking, Customer Service, Insurance Claims Investigations, Insurance Operations, Insurance Product Development, Knowledge of Claims, Long Term Planning, Settlement NegotiationsAdditional Job DetailsAddress: MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR:MISSISSAUGACity: MISSISSAUGACountry: CanadaWork hours/week: 37.5Employment Type: Full timePlatform: INSURANCEJob Type: RegularPay Type: SalariedPosted Date: 2025-02-11Application Deadline: 2025-04-04Note: Applications will be accepted until 11:59 PM on the day prior to the application deadline date aboveInclusion and Equal Opportunity EmploymentAt RBC, we embrace diversity and inclusion for innovation and growth. We are committed to building inclusive teams and an equitable workplace for our employees to bring their true selves to work. We are taking actions to tackle issues of inequity and systemic bias to support our diverse talent, clients and communities.We also strive to provide an accessible candidate experience for our prospective employees with different abilities. Please let us know if you need any accommodations during the recruitment process.Join our Talent CommunityStay in-the-know about great career opportunities at RBC. Sign up and get customized info on our latest jobs, career tips and Recruitment events that matter to you.Expand your limits and create a new future together at RBC. Find out how we use our passion and drive to enhance the well-being of our clients and communities at .

Royal Bank of Canada – Bilingual Disability Claims Analyst, Group Insurance – Mississauga, ON

Company: Royal Bank of Canada

Location: Mississauga, ON

Expected salary:

Job date: Thu, 13 Feb 2025 03:20:57 GMT

Job description: Job SummaryJob DescriptionWhat is the opportunity?Remote work available in the following provinces: Quebec, Ontario, New-Brunswick, Nova Scotia, Alberta, Manitoba and Prince Edward Island.As a Bilingual Disability Claims Analyst you will adjudicate and manage disability claims in a team-oriented, multi-disciplinary, and digital environment. You will be responsible for ensuring claims are recertified and paid in accordance with policy and unit procedures, while delivering superior client service. You will be required to apply appropriate risk management strategies which impact the company’s financial results, reputation and regulatory risks, client relationships, and business retention.What will you do?Adjudicate claims by utilizing a multidisciplinary claim management model to ensure objective, fair and thorough claim adjudication, while complying with policy provisions, procedures and regulatory requirementsProvide the highest level of customer service and manage reputational riskManage a large caseload of disability claims, calculate benefit payments and implement claims management and return to work strategies, where warrantedProfessionally communicate approval or denial decisions to clientsGiven the very sensitive nature of the information gathered in the adjudication process, extreme care must be exercised in the handling of a claim in order to guard against any breach of confidentialityEffectively communicate and build rapport with team members, stakeholders and business partners using a variety of techniques and collaboration from initiation to closeWhat will you need to succeed?Must-havePost-secondary education, preferably in healthcare or related field, or related work experienceBilingualism (English and French) required, as you will regularly serve our clients and do business with RBC partners and/or employees across Canada with English and French speaking needs.High level of writing in French and EnglishStrong analytical, critical thinking and decision-making skills, with the ability to multitask and balance multiple goals and prioritiesExcellent customer service and telephone skills with the ability to communicate complex and difficult information with professionalism and empathy, including phone calls with client who may be emotional or have mental health conditionsAbility to work independently in a structured environment, as a Remote Office Employee (ROE), working in your home office with proven time management, organizational and problem-solving skills & must be able to meet with the technological and confidentiality requirements of the role (i.e., private and quiet space, Internet connectivity, etc.)Nice-to-haveAbility to effectively manage changeProven disability claims experience, ideally in Group Disability ClaimsWhat’s in it for you?We thrive on the challenge to be our best, progressive thinking to keep growing, and working together to deliver trusted advice to help our clients thrive and communities prosper. We care about each other, reaching our potential, making a difference to our communities, and achieving success that is mutual.A Total Rewards program that includes flexible benefits, work/life balance and career development programs and investment and retirement savings plansCompetitive pay and high-earning potentialAll the tools, training, and team support you need to grow your careerFlexible work/life balance optionsSophisticated RBCI software tools to boost your productivityRBC is committed to supporting flexible work arrangements when and where available. Details to be discussed with Hiring Manager.Job Skills Active Learning, Coverage Analysis, Critical Thinking, Customer Service, Insurance Claims Investigations, Insurance Operations, Insurance Product Development, Knowledge of Claims, Long Term Planning, Settlement NegotiationsAdditional Job DetailsAddress: MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR:MISSISSAUGACity: MISSISSAUGACountry: CanadaWork hours/week: 37.5Employment Type: Full timePlatform: INSURANCEJob Type: RegularPay Type: SalariedPosted Date: 2025-02-11Application Deadline: 2025-04-02Note: Applications will be accepted until 11:59 PM on the day prior to the application deadline date aboveInclusion and Equal Opportunity EmploymentAt RBC, we embrace diversity and inclusion for innovation and growth. We are committed to building inclusive teams and an equitable workplace for our employees to bring their true selves to work. We are taking actions to tackle issues of inequity and systemic bias to support our diverse talent, clients and communities.We also strive to provide an accessible candidate experience for our prospective employees with different abilities. Please let us know if you need any accommodations during the recruitment process.Join our Talent CommunityStay in-the-know about great career opportunities at RBC. Sign up and get customized info on our latest jobs, career tips and Recruitment events that matter to you.Expand your limits and create a new future together at RBC. Find out how we use our passion and drive to enhance the well-being of our clients and communities at .

Royal Bank of Canada – Disability Claims Specialist, Group Insurance – Mississauga, ON

Company: Royal Bank of Canada

Location: Mississauga, ON

Expected salary:

Job date: Thu, 13 Feb 2025 06:38:38 GMT

Job description: Job SummaryJob DescriptionWhat is the opportunity?Remote work available in the following provinces: Ontario, New-Brunswick, Nova Scotia, Alberta, Manitoba and Prince Edward Island.As a Disability Claims Specialist, you will adjudicate and manage Group disability claims in a team-oriented, multi-disciplinary, and digital environment. You will be responsible for ensuring claims are adjudicated and paid in accordance with policy and unit procedures, while delivering superior client service. You will be required to apply appropriate risk management strategies which impact the company’s financial results, reputation and regulatory risks, client relationships, and business retention.What will you do?Adjudicate claims by utilizing a multidisciplinary claim management model to ensure objective, fair and thorough claim adjudication, while complying with policy provisions, procedures and regulatory requirementsProvide the highest level of customer service and manage reputational riskManage a large caseload of disability claims, calculate benefit payments and implement claims management and return to work strategiesRender decisions on a timely basis and effectively communicate these decisions, at times potentially difficult decisions and manage escalations with employers and claimants.Document and implement the appropriate next steps while effectively applying the adjudication processBuild effective relationships with key stakeholders and claimants to support recovery and return to workGiven the very sensitive nature of the information gathered in the adjudication process, extreme care must be exercised in the handling of a claim in order to guard against any breach of confidentialityEffectively communicate and build rapport with team members, stakeholders and business partners using a variety of techniques and collaboration from claim initiation to resolutionWhat will you need to succeed?
Must-havePost-secondary education, preferably in healthcare or a related field, and minimum 2(two) years of Short Term or Long-Term Disability claims adjudication experienceFluency in English, both oral and writtenStrong analytical, critical thinking and decision-making skills, with the ability to multitask and balance multiple goals and prioritiesExcellent customer service and telephone skills with the ability to communicate complex and difficult information with professionalism and empathy, including phone calls with client who may be emotional or have mental health conditionsAbility to work independently in a structured environment, as a Remote Office Employee (ROE), working in your home office with proven time management, organizational and problem-solving skills & must be able to meet with the technological and confidentiality requirements of the role (i.e., private, and quiet space, Internet connectivity, etc.)What’s in it for you?We thrive on the challenge to be our best, progressive thinking to keep growing, and working together to deliver trusted advice to help our clients thrive and communities prosper. We care about each other, reaching our potential, making a difference to our communities, and achieving success that is mutual.A Total Rewards program that includes flexible benefits, work/life balance and career development programs and investment and retirement savings plansCompetitive pay and high-earning potentialAll the tools, training, and team support you need to grow your careerFlexible work/life balance optionsSophisticated RBCI software tools to boost your productivityRBC is committed to supporting flexible work arrangements when and where available. Details to be discussed with Hiring Manager.Job Skills Active Learning, Coverage Analysis, Critical Thinking, Customer Service, Insurance Claims Investigations, Insurance Operations, Insurance Product Development, Knowledge of Claims, Long Term Planning, Settlement NegotiationsAdditional Job DetailsAddress: MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR:MISSISSAUGACity: MISSISSAUGACountry: CanadaWork hours/week: 37.5Employment Type: Full timePlatform: INSURANCEJob Type: RegularPay Type: SalariedPosted Date: 2025-02-11Application Deadline: 2025-04-04Note: Applications will be accepted until 11:59 PM on the day prior to the application deadline date aboveInclusion and Equal Opportunity EmploymentAt RBC, we embrace diversity and inclusion for innovation and growth. We are committed to building inclusive teams and an equitable workplace for our employees to bring their true selves to work. We are taking actions to tackle issues of inequity and systemic bias to support our diverse talent, clients and communities.We also strive to provide an accessible candidate experience for our prospective employees with different abilities. Please let us know if you need any accommodations during the recruitment process.Join our Talent CommunityStay in-the-know about great career opportunities at RBC. Sign up and get customized info on our latest jobs, career tips and Recruitment events that matter to you.Expand your limits and create a new future together at RBC. Find out how we use our passion and drive to enhance the well-being of our clients and communities at .

SCM Insurance Services – Claims Adjuster- Transportation Equipment & Cargo, REMOTE, Work from Anywhere in Canada (Toronto, ON) – Toronto, ON

Company: SCM Insurance Services

Location: Toronto, ON

Expected salary:

Job date: Wed, 12 Feb 2025 23:10:36 GMT

Job description: Company: ClaimsPro LPClaims Adjuster- Transportation Equipment & Cargo, REMOTE, Work from Anywhere in Canada (Toronto, ON)ClaimsPro’s Transportation, Equipment & Cargo (TEC) Unit is seeking seasoned adjusters in Canada to join our growing team. Qualified and interested candidates based anywhere in Canada are encouraged to apply.Our TEC unit is a dedicated team of experienced professionals offering specialized claims services for the Transportation, Equipment, and Cargo (TEC) industries as they pertain to Collision, Cargo, Total Loss and Salvage Valuations, Environmental Management and Control, Liability and Subrogation Management, Bodily Injury Case Management (BI Tort, Accident Benefits) and CGL Investigations. TEC specializes in administration of Trust Accounts for fleet operations, providing services in English and French.The ideal candidate will have at least 5 years of relevant experience with an established client base and proven track record of:

  • Marketing directly to insurers, brokers and risk managers
  • Superior ability to interpret complex coverage conditions and exclusions
  • Superior report writing ability, and proven ability to analyze and present claim data to insurers in an organized and professional manner
  • Ability to oversee and direct consultants, appraisers, lawyers, forensic accountants and engineers, and other experts to ensure timely and effective claim resolution
  • Additional professional claims related designation such as FCIP, CFEI, CLA, FCIAA, or postsecondary qualification or equivalent national or international designation
  • Extensive specialist claim handling experience in:
  • Physical damage to power units, trailers, equipment and cargo
  • Theft and fraud investigations
  • Environmental impairment related to fuel spills and transport related spills of other pollutants
  • Subrogation
  • Liability and Bodily Injury investigations
  • Accident Benefits
  • Transport related property (warehouses, terminals, maintenance facilities

Managing Complexity with Simplicity – TEC claims can be complex, involving multiple stakeholders and divergent needs. Our TEC unit manages this complexity with a simple approach that leverages ClaimsPro’s national network of professional and technological resources. Clients ultimately benefit from a multi-disciplinary team of technical experts who understand the nuances of the markets local to the claim. Our team is further empowered by iAdjust™, ClaimsPro’s intuitive and innovative claims management technology that simplifies all document administration, handling, and communication.Managing Complexity with Accessibility – TEC facilitates the claims process, acting as the primary point of contact for all stakeholders. This minimizes response times and streamlines reporting, allowing clients to develop a comfortable working relationship with TEC, promoting confidence among all parties and ensuring a swift and successful resolution to claims.The successful candidate can expect a competitive executive compensation package.Environment/Work Conditions
SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.Unsolicited Outreach Statement – Recruitment AgenciesSCM Insurance Services (SCM) and its affiliated companies will not accept unsolicited resume submittals from third- party recruiters and hereby request agencies to not contact SCM employees or managers directly to present candidates. Be advised SCM will NOT pay a fee for any placement resulting from the receipt of an unsolicited resume and will consider any unsolicited resumes forwarded public information. SCM welcomes resumes submitted directly from candidates.

Intact Financial – Senior Property Field Claims Representative ( Sudbury, ON) – Toronto, ON

Company: Intact Financial

Location: Toronto, ON

Expected salary:

Job date: Sun, 02 Feb 2025 05:38:28 GMT

Job description: Our employees are at the heart of everything we do. Together, we help people, businesses, and society prosper in good times and be resilient in bad times.Our employee promise represents Intact’s commitment to you in exchange for living our Values, striving to do your best work, being open to change and investing in your career. In return, we promise to provide support, opportunities and performance-led financial rewards at a workplace where you can shape the future, win as a team and grow with us.About the roleWe’re looking for a Senior Field Claims Representatives to join our growing team and provide support in the Sudbury region!What you’ll do here:Investigate relatively complex commercial and personal lines property claims in a timely and respectful manner through communication with customers, contractors, consultants and any other related parties.Handle field tasks on behalf of telephone adjusters.Provide a superior quality of customer service to external and internal customers, and answer queries relating to the claims process.Document the claim file by meeting with all involved parties and obtaining appropriate reports and statements from customers, appraisers, third party adjusters, claimants, witnesses, police, and any other pertinent experts to determine coverage.Analyze the information gathered, interpret insurance policy wording, determines coverage, assesses damage.Within established authority limits, negotiate with customers, claimants, lawyers, and insurers to settle claims.Maintain current knowledge of insurance products, as well as appraisal or investigation.What you bring to the table:University degree or any combination of training and experience deemed relevant for the role5 to 7 years experience handling personal and commercial property claims with at least partly acquired experience directly in the fieldDemonstrates a passion for customer service with strong written and verbal communication skillsSelf-motivated and goal oriented, capable of working in a fast paced and changing environmentStrong aptitude for technology with excellent computer skillsDemonstrates strong problem solving and troubleshooting skillsValid driver’s licence with a good driving recordCan travel on short noticeThis role is eligible for employee referral bonus. #myReferrals3000#LI-RemoteWhat we offerOur hybrid work model provides the balance between working from home and enjoying meaningful in-person interactions.Working here means you’ll be empowered to be and do your best every day. Here is some of what you can expect as a permanent member of our team:A financial rewards program that recognizes your successAn industry leading Employee Share Purchase Plan; we match 50% of net shares purchasedAn extensive flex pension and benefits package, with access to virtual healthcareFlexible work arrangementsPossibility to purchase up to 5 extra days off per yearAn annual wellness account that promotes an active and healthy lifestyleAccess to tools and resources to support physical and mental health, embracing change and connecting with colleaguesA dynamic workplace learning ecosystem complete with learning journeys, interactive online content, and inspiring programsInclusive employee-led networks to educate, inspire, amplify voices, build relationships and provide development opportunitiesInspiring leaders and colleagues who will lift you up and help you growA Community Impact program, because what you care about is a part of what makes you different. And how you contribute to your community should be just as unique.We are an equal opportunity employerAt Intact, our Value of respect is founded on seeing diversity as a strength. We strive to create an accessible workplace where employees feel valued, included and encouraged to share their unique perspectives.We encourage applications from individuals who are members of equity-deserving groups, including but not limited to women, Indigenous peoples, persons with disabilities, Black people, and members of the 2SLGBTQI+ community.As part of Intact’s commitment to reconciliation, we acknowledge that we work, meet and travel across the land currently called Canada, originally inhabited by First Nations, Metis and Inuit people. This history extends through many centuries and continues to evolve today.We have policies to ensure equal access and participation for people with disabilities, including providing workplace adjustments (accommodations). A copy of applicable policies is available on request.If we can provide a specific adjustment to make the recruitment process more accessible for you, please let us know when we reach out about a job opportunity. We’ll work with you to meet your needs.If you are an employee of Intact or belairdirect, please apply for this role on Internal Career Site.