Medical Claims Assessor jobs

Apply today and you’ll be joining a team of employees that have described Wynward as refreshing, progressive, innovative, and with an engaging team-first environment.

Wynward Insurance Group offers:

• Competitive salary
• High performance bonus program and a contribution matching pension plan
• Exceptional benefits package, including health, dental, wellness program, health spending account, etc.
• Educational reimbursement plan and continued training and development opportunities
• Remote work
• Vehicle allowance
• Professional memberships and dues covered by Wynward
• Wynward Gear
• Casual dress code

Job Description:

We are looking to add an experienced Senior Commercial Claims Adjuster to our Claims team. This person will be responsible for the investigation and adjusting of commercial property claims within the greater Toronto area.

As a fully remote employee, it is important for the successful candidate to be customer focused, resourceful, and an independent self-starter, with flexibility regarding working hours and availability to travel extensively within the assigned region. The position can be tailored to include liability claims if the successful candidate has the appropriate experience and background.

Responsibilities:

• Investigate scope, confirm coverage, negotiate settlement and recovery, and conduct reporting and documentation on a task assignment basis for substantial and complex claims in accordance with established guidelines.
• Conduct field investigations of claims through contact with insurers, claimants, witnesses, other carriers, physicians, contractors, lawyers, etc.
• Secure loss location and evidence.
• Evaluate, analyze and interpret policy wordings, including recognizing policy exclusions, in order to assist with the determination of coverage applicable to the loss.
• Determine and obtain the type of required documentation necessary to support claims in accordance with company policy, as well as federal, provincial, and local regulations.
• Ensure the accurate and efficient payment of claims in accordance with legislative requirements.
• Review available information and assist with the recommendation of appropriate reserves, payments or recovery, negotiation, or declination.
• Develop relationships and work with other departments such as underwriting in order to meet business goals. This includes sending emails to underwriting notifying them of potential risks/hazards.
• Understand and apply standard operating procedures towards compliance, internal control and operational risk controls in accordance to national standards and regulatory standards and policies.

Qualifications:

• Minimum of 10 years of relevant experience handling commercial property
• Experience in handling liability claims is an asset
• Completion of or working towards CIP or CRM designations.
• University or College Degree, preferably in a business discipline is an asset
• Strong analytical, assessment, decision-making, and organizational skills
• Familiar with Windows and Microsoft 360 software
• Ability to balance investigative requirements with customer service expectations
• Excellent oral and written communication skills
• Valid driver’s license and an excellent driving record.
• Must be self-motivated, team player with a positive attitude

Wynward Insurance Group prides itself in creating and fostering a workplace culture that is collaborative and rooted in the principles of integrity, passion, and hard work.

Founded in 1920, Wynward Insurance Group is a progressive company known for developing innovative insurance products and services. We are proud to be 100% Canadian owned, conducting business in all provinces and territories. Our head office is located in Winnipeg, MB and there are additional offices in Halifax and London.

To learn more about our award-winning organization, please visit www.wynward.com

Pay: $85,000.00-$115,000.00 per year

Benefits:

• Casual dress
• Company pension
• Dental care
• Disability insurance
• Employee assistance program
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision care
• Work from home

Application question(s):

• Do you have, or are you working toward your CIP or CRM?

Experience:

• commercial property claims: 10 years (preferred)

Location:

• Ontario (required)

Work Location: Remote