Claims Adjuster, Automobile

OTIP Group of Companies (OTIP, Orbit, Curo) • Waterloo, ON

6d • CA$57,669 - CA$79,295 • Hybrid

About The Position

The Claims Adjuster, Automobile is responsible for serving the members through the investigation and settlement of minor to moderate automobile claims. This includes establishing prompt relationships with insured members, detailed investigation of coverage, liability and quantum ensuring fiduciary, regulatory and contractual compliance, and adhering to organization service standards, operational targets and core competencies. Reporting to the National Auto Claims Manager, the core parts of your role will be to deliver a superior customer experience which includes responding to all general inquiries, initiating and maintain contact with insured members, and assists with commodity claims overflow. The role involves confirming coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, completing contractual auto coverage analysis and assessing quantum, reviewing subrogation opportunities, negotiating and resolving automobile insurance claims of minor to moderate nature in a timely manner. The Claims Adjuster will also coordinate, direct and follow up on work activities performed by outside service providers to completion, ensure all correspondence is completed in a time efficient/effective manner including the creation of Critical Path, Proof of Loss, waivers and reservation rights letters, and gather information from insured members, civil authorities, police, witnesses and other insurers to complete a timely investigation of the motor vehicle accident. Maintaining quality service and adhering to organizational standards to deal with all aspects of file handling including reserving, expense and loss control, questionable claims, and creating defined disposition plans for future handling leading to file closure is also a key responsibility. The role requires assisting and participating in all dispute forums related to policy coverage on behalf of key stakeholders, providing support and assembling documentation on items in dispute along with resolution recommendations. Confidentiality of claims information is crucial to protect operations and insured members. The Claims Adjuster is responsible for data integrity, issuance of payments to vendors, insureds and experts and to maintain well-organized claim files while ensuring accuracy of data input. Adherence to partner's guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance is mandatory. Active participation in coaching and training sessions and collaboration with team members and management is expected, as is taking an active role in creating an environment of continuous improvement of work efficiencies and highlighting value work. Other duties within competence, as assigned, will also be part of the role.

Requirements

• A post-secondary education and/or college diploma within related field.
• CIP designation or working towards designation.
• Provincial adjusters license as required; Ability to acquire same.
• 2+ years’ experience with a good understanding of the automobile policy.
• Ability to communicate in French is an asset.
• Excellent communication skills verbal and written to effectively work with internal and external stakeholders.
• Strong time management and organizational skills to manage competing priorities.
• Current Microsoft Office working knowledge.
• Ability to learn and adapt in a fast-pace environment including working with various computer programs, databases and software.
• Ability to work independently and as part of collaborative team environment.

Responsibilities

• Deliver a superior customer experience which includes responding to all general inquires, initiating and maintain contact with insured members, and assists with commodity claims overflow.
• Confirm coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, completing contractual auto coverage analysis and assessing quantum, reviewing subrogation opportunities, negotiating and resolving automobile insurance claims of minor to moderate nature in a timely manner.
• Coordinate, direct and follow up on work activities performed by outside service providers to completion.
• Ensure all correspondence is completed in a time efficient/effective manner including the creation of Critical Path, Proof of Loss, waivers and reservation rights letters.
• Gather information from insured members, civil authorities, police, witnesses and other insurers to complete a timely investigation of the motor vehicle accident.
• Maintain quality service and adheres to organizational standards to deal with all aspects of file handling including reserving, expense and loss control, questionable claims, and creating defined disposition plans for future handling leading to file closure.
• Assist and participate in all dispute forums related to policy coverage on behalf of key stakeholders. Provide support and assembles documentation on items in dispute along with resolution recommendations.
• Keep claims information confidential to protect operations and insured members.
• Responsible for data integrity, issuance of payments to vendors, insureds and experts and to maintain well-organized claim file while ensuring accuracy of data input.
• Adhere to partner's guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
• Actively participate in coaching and training sessions and collaborate with team members and management.
• Take an active role in creating an environment of continuous improvement of work efficiencies and highlight value work.
• Perform other duties within competence, as assigned.

Benefits

• Defined benefit pension plan for a financially confident retirement
• 100% coverage of approved continuing education and licensing fees (including RIBO courses in Ontario)
• Access to a wealth of learning resources, including LinkedIn Learning for professional development
• Flexible work-from-home and hybrid options
• Opportunities for advancement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree