Technical Claims Consultant

Insight Global; Calgary; On-site; CAD 85,000 - 115,000; Full time

Job summary

A leading insurance consultancy in Calgary seeks a Technical Claims Consultant to provide support in technical claims management. You will collaborate with leadership and train Claims Supervisors while analyzing data trends. The ideal candidate should have seven years of specific experience in the insurance industry and possess a relevant post-secondary education. Advanced knowledge of policy wording and analytical tools is essential for succeeding in this role.

Qualifications

• Seven years of discipline-specific experience within the insurance industry.
• Advanced knowledge of policy wording, legislation, and regulations.
• Pursuing or holding FCIP or CIP designation.
• Strong knowledge of policy wording and legislation.
• Ability to use metrics and analytics to identify trends.
• Excellent communication and stakeholder collaboration.

Responsibilities

• Provide technical consulting and coaching to Claims Supervisors.
• Participate in learning programs as a Subject Matter Expert.
• Support data and trend analysis.
• Identify trends and communicate with stakeholders.
• Assist in resolving technical conflicts.
• Support execution of operational policies.
• Collaborate with stakeholders for business process implementation.

Skills

Strong technical aptitudes

Metrics and analytical tools usage

Understanding of policy wording

FCIP or CIP

Advanced knowledge of policy wording,

Metrics and analytics to drive action

Education

Post-secondary education

Fellow Chartered Insurance Professional (FCIP) or Chartered Insurance Professional (CIP)

Job description

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.

Responsibilities

• 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.

Required Skills and Experience

• 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.