Claims Service Representative *Remote work*, anywhere in the GTA (Toronto, ON)

SCM; Remote; CAD 35,000 - 48,000; Full time

Job summary

A leading insurance claims service provider is seeking Claims Service Representatives to work in a remote environment. You will provide immediate, customer-focused assistance to policyholders, ensuring timely handling of insurance claims. Responsibilities include reviewing call reports, providing exceptional customer service, and coordinating with adjusters as needed. Candidates should have post-secondary education, at least one year of customer service experience, and strong communication skills in English and French. This full-time position offers competitive pay between $35,000 and $48,000 annually.

Benefits

Work-Life Balance

E-flex Benefits Program

Registered Retirement Savings Plan (RRSP) with 2% Match

Training and Career Development

Employee Referral Bonuses

Qualifications

• Minimum of 1 year of customer service or administrative experience.
• Knowledge of insurance/service industry preferred.
• Attention to detail and strong computer skills.

Responsibilities

• Review call reports and ensure accuracy before forwarding.
• Provide high-level personalized customer service.
• Dispatch adjusters or vendor partners when required.
• Maintain a database of service lapses for reporting.
• Determine next steps for processing claims against guidelines.

Skills

Customer service

Effective communication in English and French

Problem-solving

Computer skills

Education

Post secondary education

Job description

Company:

ClaimsPro LP Claims Service Representative *Remote work*, anywhere in the GTA (Toronto, ON)

Role Summary

We have existing opportunities to add Claims Service Representatives to our team! You will work in a remote based environment providing 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)
• 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. Weekend shifts are mandatory.
• This is a full-time opportunity, and will require 37.5 hours of work per week.

Responsibilities

• Review call report and ensure call has terminated properly, then 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 appropriate area.
• 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 is required.
• Minimum of 1 year of customer service or administrative experience is required.
• 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.

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.

What we offer

• Competitive pay: $35,000 – $48,000 annually.

In addition, you’ll enjoy:

• Work-Life Balance & Hybrid/Remote Work Opportunities.
• E-flex Benefits Program & Wellness Initiatives.
• Registered Retirement Savings Plan (RRSP) with 2% Match.
• Training, Career Development, and Employee Recognition Programs.
• Employee Referral Bonuses.

We 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 Agencies

We will not accept unsolicited resume submittals from third- party recruiters and hereby request agencies to not contact our employees or managers directly to present candidates. Be advised that we 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. We welcome resumes submitted directly from candidates.