Insurance Claims Adjuster Jobs

About The Position

Requirements

• Minimum 2 years of insurance adjusting experience handling bodily injury and property damage claims. (Level 2)
• Minimum 5 years of insurance adjusting experience handling bodily injury and property damage claims. (Level 3)
• Post-secondary degree is preferred.
• Willingness to work toward the Chartered Insurance Professional (CIP) designation and, where required, commitment to achieving the proper licensing requirements.
• Exceptional customer service skills, with demonstrated empathy and concern for member satisfaction.
• Excellent knowledge of medical and legal terminology.
• Excellent communication skills, including listening, written, and verbal communication.
• Excellent investigative and analytical skills, with strong attention to detail and a high degree of accuracy in data entry.
• Excellent time management and organizational skills, with the ability to prioritize work in a fast-paced, changing environment.
• Excellent negotiation, decision-making, and critical thinking skills.
• Strong teamwork skills, with the ability to collaborate effectively with others.

Nice To Haves

• Directors’ and Officers’ knowledge is a strong asset.

Responsibilities

• Provide the best defense for members by completing proactive, fair, and thorough investigations into liability, coverage, and quantum.
• Communicate in a timely and proactive manner through voice-to-voice, digital, and written correspondence, ensuring all inquiries are handled professionally and effectively.
• Adjust high-complexity and large-loss casualty claims.
• Review and interpret policy wordings, determine policy coverage, and clearly communicate coverage decisions to members.
• Establish timely and accurate loss and expense reserves throughout the life of the claim by evaluating information from various sources, including independent adjusters, medical, legal, financial, and vocational resources.
• Ensure a comprehensive investigation is completed on all files to determine coverage and liability, while adhering to Wawanesa’s adjusting guidelines and recognizing when to engage appropriate internal and external resources.
• Coordinate and manage services with vendors and service providers, such as lawyers, engineers, accountants, and health practitioners.
• Negotiate with claimants, lawyers, and other insurers to resolve claims with the best possible result for our members. Manage claims in litigation, mediation, or arbitration, and provide instruction to assigned counsel.
• Maintain an effective and current diary system and document claim file activities in accordance with established procedures.
• Demonstrate and maintain knowledge and understanding of policy coverages while complying with regional regulatory and licensing requirements, as applicable. Remain current with legislative changes and trends in the insurance industry.
• Occasionally participate in private mediation, court proceedings, and other dispute resolution processes as required.
• Contribute to employee development through training, technical guidance, and coaching.
• Perform other duties as assigned.

Benefits

• annual bonus plan
• leave of absence top-up programs
• generous vacation time
• personal days
• premium free benefits
• pension plan