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Job Description & How to Apply Below
Overview
The Technical Claims Consultant will provide direction and support with respect to technical claims management for their assigned discipline. 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. The Technical Claims Consultant is responsible for the training and to provide technical support and coaching to the Technical Claims Supervisor.
Accountable to work in collaboration with claims peers and leaders to deliver on objectives and client service expectations for their Accident Benefits discipline.
- Provide technical consulting 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.
- Participate in learning programs for the discipline as a Subject Matter Expert.
- Support with data and trend analysis including monitoring and collaborative action planning established by leadership.
- Identify specific trends, legal issues, legislation and convey this information to stakeholders and cross discipline teams.
- Assist the leadership team in resolving technical conflicts and client escalations.
- Support the execution of operational policies and procedures to ensure compliance with company, government, and legislative standards.
- Work collaboratively with stakeholders to implement business processes which enhance client engagement, support profitability, and enrich staff engagement.
- Strong technical aptitudes
- You have seven years of discipline specific experience within the insurance industry.
- You have a post-secondary education.
- 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.
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