Claims Examiner

Résumé du poste

The Claims Examiner acts as a liaison between brokers and insurers to resolve claims and ensure fair disposition. Responsibilities include analyzing coverage, negotiating payments, maintaining accurate documentation, and providing technical expertise to clients.

Détails du poste

We offer more than a job, we offer a career! * We support our employees to shape their career by encouraging continuing education and investing in training and development. * We put our employees at the center of what we do to allow them to grow personally and professionally, with projects and challenges that are motivating and rewarding. * We inspire people to do what they are passionate about by believing in integrity, respect and recognition of diversity and community support. * We are a dynamic team where entrepreneurship, innovation, and collaboration are at the core of our values. * We offer competitive salaries and a multitude of benefits starting day one including generous medical and dental coverage, telemedicine, employee and family assistance program, and retirement and savings programs. * We recognize the importance of work-life balance with our hybrid work program, wellness allowance, and year-round social activities and events. We are looking for a claims Examiner to join our team in our Montreal office! As an Examiner, you will be responsible for acting as a liaison as a liaison between the broker and insurer in resolving all claims and to perform all tasks related to the fair and equitable disposition of claims. If you are career-minded and looking for a dynamic work environment with a growth mindset, you will love working among our team! Your Day as a claims Examiner * Upon notification of a new claim, reviews the relevant policy and gathers all necessary facts and information for the insurer. * Conducts analysis of claims and coverage and recommends solutions to coverage issues. * Provides technical expertise to internal and external clients regarding claims coverage. * Negotiates payments and reimbursements on the insurer’s behalf. * Updates the broker on the status of the claim, if required. * Enters and maintains current and accurate information in LEO, Bordereau and Lineage. * Carries on all tasks required by Delegated Authorities, notably examining reports, issuing payments, helping with month-end reports and reconciliation of payments. * Maintains current and accurate files and documentation for each claim. * Builds and maintains excellent working relationships with internal clients, adjusters, insurers and related trades and experts. * Identifies any client or system issues that may arise to the appropriate individuals. * Complies with all corporate policies and procedures. * Develops claims management reports and distributes reports to management as required. * Supports the Claims team with problem files and difficult situations. Our Ideal Candidate * Minimum of 1 years of experience in the insurance industry. * Has obtained their adjuster’s licence (AMF) * Good knowledge of insurance coverages. * Strong analytical, problem solving and communication skills. * Good knowledge of Microsoft 365. * Effective time management and organizational skills. * Resourceful, customer focused and service oriented. * Strong attention to detail and precise. * Ability to work well under pressure. * Ability to work well independently and as part of a team. Who we are Founded in 1987 by Barry F. Lorenzetti, BFL CANADA is one of the largest employee-owned and operated Risk Management, Insurance Brokerage, and Employee Benefits consulting services firms in North America. The firm has a team of over 1,500 professionals located in 27 offices across the country. Thanks to its Local International Office Network of independent brokers (LION), BFL CANADA provides clients with privileged access to insurance partners in over 140 countries, helping to support their operations both in Canada and globally. Our Montreal office is located at the heart of downtown Montreal, the largest city in Quebec. Our employees can benefit from the numerous exciting activities organized in the neighborhood. Let’s stay in touch: follow us on LinkedIn [https://www.linkedin.com/company/bfl-canada/mycompany/?viewAsMember=true] to get privileged access to our activities and see our other job opportunities. Visit our website to learn more about us: www.bflcanada.ca [http://www.bflcanada.ca] We welcome and encourage applications from people with diverse abilities. BFL Canada is committed to fostering an environment that is diverse, equitable, inclusive, and accessible to all. The diversity of our talents enables innovation and creativity through diverse backgrounds, different thinking, and unique knowledge. Accommodation is available on request for candidates taking part in all aspects of the selection process. Offers of employment at BFL CANADA are conditional upon satisfactory results of background verifications. #LI-Hybrid

Ce que vous ferez

The Claims Examiner acts as a liaison between brokers and insurers to resolve claims and ensure fair disposition. Responsibilities include analyzing coverage, negotiating payments, maintaining accurate documentation, and providing technical expertise to clients.

Exigences

Candidates must have at least one year of experience in the insurance industry and hold an adjuster's licence (AMF). Strong analytical, communication, and organizational skills, along with proficiency in Microsoft 365, are required.

Avantages

• Medical coverage • Dental coverage • Telemedicine • Employee and family assistance program • Retirement and savings programs • Wellness allowance • Social activities and events

Compétences indiquées

• Gestion du temps · Souhaitée
• Service à la clientèle · Souhaitée
• Résolution de problèmes · Souhaitée
• Microsoft 365 · Souhaitée
• Souci du détail · Souhaitée
• Negotiation · Souhaitée
• Documentation · Souhaitée
• Reporting · Souhaitée
• Communication Skills · Souhaitée

Autres compétences pertinentes

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• Claims examination
• Insurance coverage analysis
• Negotiation
• Technical expertise
• Problem solving
• Communication skills
• Microsoft 365
• Time management
• Organizational skills
• Customer service
• Attention to detail
• Reporting
• Reconciliation
• Documentation
• Resourcefulness
• Insurance Industry
• Management Reporting
• Organizational Skills
• Growth Mindedness
• Brokerage
• Customer Service
• Communication
• Consulting
• Training And Development
• Creativity
• Innovation
• Problem Solving
• Risk Management
• Operations
• Time Management
• Telehealth
• Detail Oriented

Domaines d’emploi

• Finance & Accounting
• Consulting
• Customer Service & Support
• Administrative
• Claims Examiner
• Claims Examiner (General)
• Valuers and Loss Assessors
• Claims Adjusters, Examiners, and Investigators