Claims Advocate Representative/ Ombudswoman/man

 

Modern Specialty Insurance was created after we determined there was a need in the

insurance market for our niche products that are also easy to use and where we provide quick

policy turnaround. We built an insurance MGA that is ready to deliver exceptional

service, will provide individualized coverage to support our brokers and will live up to

our commitment to make it easy to do business with us.

 

Location: Burlington Ontario

The Claims Advocate Representative is responsible for advocating on behalf of our insurance customers in claims situations where necessary, as well as managing data of our insured clients and setting up new claims within our system. The Claims Advocate Representative is responsible for monitoring the progress of claims, creating claims records/reports, and providing authority for the payment of claims and processing of cheques when applicable.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES:

 

  • Monitor incoming claims, and verify information in the claims system with policy application and/or wordings

  • Monitor initial reserve, change or close reserve and file as required.

  • Monitor and update system with required file notes and status update, follow up on and, review cheque status or cancellation and provide updates as required to management.

  • Create or save documents in appropriate file (incoming or outgoing communication).

  • Assess estimate request, update and closure request (multiline).

  • Review and complete daily reports if required.

  • Send notification to client and communicate with insurer and adjusters as required.

  • Respond to internal or external inquiries.

 

QUALIFICATIONS:

Education & Licensing

  • Enrolled or completed a post-secondary, insurance related program.

  • 1-2 previous insurance adjusting experience

  • completion of or willingness to enroll in CIP designation

  • Willing to be licensed in multiple jurisdictions

 

Skills & Knowledge

  • Strong organizational and analytical skills.

  • Excellent verbal and written communication skills.

  • Solid problem solving and decision-making ability.

  • Computer proficiency.

  • High energy, organized, self-starter

  • Strong work ethic, goal oriented

  • Collaborative team player

 

The above reflects management’s definition of essential functions for this position but does not restrict the tasks that may be assigned. The above responsibilities are representative only; management may modify the duties and responsibilities to this position at any time.