Description
SUMMARY:
The Claims Administrator is responsible for daily administration of liability and property occurrences, including the intake process, digital file management and updating the Risk Management database. This position also assists the Claims Specialists to ensure the timely response and resolution of occurrences and claims.
SPECIFIC RESPONSIBILITIES:
- Provides administrative support to the department.
- Ensures satisfaction of Floor Care Program and Schedules (Occupiers Liability Act).
- Detailed upkeep of the risk management database with claims status, property details and values.
- Creates and delivers weekly diary reports from risk management data base to the Claims Specialist.
- Creates and delivers other ad hoc reports requested by Manager.
- Reviews first and third-party claims intake mailbox for irregularities, accuracy and completeness.
- Coordinates the claims acknowledgement process and communicates claims assignments to relevant parties.
- Coordinates the timely receipt of defense material, reconciles discrepancies, and maintains an organized tracking system to ensure all new incoming and/or urgent or sensitive occurrences are timely addressed and escalated to the Claims Specialist.
- Assists Specialists and Manager with administrative claim functions, including processing accounts receivables and payables, assignment notices to external third party administrators and defense counsel, tracking medical payments and documentation, overall preparation of files for insurers, adjusters, lawyers.
- Schedules litigations in Ontario Risk calendar, connect with Witnesses and completes Witness Connection Notices, defence counsel assignments and Undertakings in a professional and timely manner.
- Ensures all legal documents received are correctly assigned for response within litigation deadlines as per court rules and internal contracts (Insurance Act, Negligence Act).
- Requests and provide additional information, for completion of claim processing and handling i.e.. Company internal departments, defence counsel
- Obtain and review video surveillance. Compile sequential photo stories, formatting, links and copying processes.
- Participates as a team player in department projects geared to reduce company risk and streamline processes.
QUALIFICATIONS:
- College study
- 1 - 3 years relevant administration work experience
- Ability to work independently and as a team player, strong attention to detail, and organized
- Good judgement and analytical skills
- Knowledge of applicable laws
- Intermediate knowledge of database applications
- Excellent written, telephone and communication skills, strong customer service skills.
- Intermediate level of MS Office and Internet
RELATIONSHIPS:
- Head Office, Stores, Vendors, Employees, Customers, Insurers, Lawyers
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