Workers Compensation Claims Adjuster handling claims investigation and resolution strategies for Rhode Island and Massachusetts workers. Support return - to - work efforts and manage compliance with regulatory guidelines.
About the role
- Claims Manager responsible for end-to-end management of insurance claims for Wilink. Collaborating with various stakeholders and ensuring client needs are met throughout the process.
Responsibilities
- The Claims department specializes in managing our clients' claims and operates across all group offices
- As a Claims Manager, you will be responsible for handling claims files from A to Z, from receiving the notification to final file closure
- You will be in contact with multiple stakeholders (insurers, experts, clients, and our various points of sale)
- Open claims files within the Claims entity and with the insurance company
- Gather information regarding coverages, liabilities and circumstances
- Analyze general and specific policy terms to determine coverage conditions and indemnity limits
- Inform the client about their coverages and the progress of their claim file
- Defend the clients' interests at the time of the claim
- Keep the various parties informed (expert, insurer)
Requirements
- You hold a qualification relevant to the role (Bachelor/Master in Insurance/Law - Insurance Broker IFAPME) or have equivalent professional experience
- You have at least an initial proven experience in a similar claims management role, gained at a broker, insurer, or an insurance expertise office
- You have solid knowledge of AUTO claims (mandatory) and, if possible, FIRE claims (asset)
- You hold the FSMA certificates required for this role (PCP/RDI, Assur MiFID, regular refresher training...) or commit to obtaining them as soon as possible (via our internal training program)
- Knowledge of BRIO is an important asset; you are prepared to acquire proficiency quickly through our internal training program
- You are committed to following the internal training pathway to become versatile in both AUTO and FIRE claims
- You demonstrate genuine motivation and intend to invest your skills and energy in a new challenge
- You show empathy to understand clients' needs and present appropriate solutions
- You are a skilled negotiator, autonomous and proactive; you are also rigorous, organized, methodical and able to manage priorities
- You are comfortable communicating by phone to provide precise and prompt follow-up to stakeholders
- You can express yourself clearly in French (spoken and written) to explain matters pragmatically
Benefits
- Full-time contract or 4/5 (four days/week) schedule, according to your needs
- A pleasant working environment, ideally located in Louvain-la-Neuve, with the possibility of 2 days/week remote work
- A varied role with opportunities to progress within a skilled, supportive and caring team
- A compensation package tailored to your profile (group insurance, hospitalization insurance, possibility of a car under the cafeteria plan...)
Job title
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