Claims Adjuster

3 weeks ago

Waterloo ON, Canada Ontario Teachers Insurance Plan Full time

With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.

At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they are, andincluded in thevery fabric of the organization: they bringtheirbestto work every day. And that's why we mean itwhen wesay we put our people at the centreofeverything we do. Join us as we grow our way into a future that reimagines what it means to deliver meaningful benefits support and service.

Job Description

What You’ll Do:

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 Assistant Manager, you’ll be responsible for:

  • Deliveringa superior customer experience which includes responding to all general inquires, initiating and maintaining contact with insured members, and assistingwith commodity claims overflow.
  • 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.
  • Coordinating, directingand followingup on work activities performed by outside service providers to completion.
  • Ensuring all correspondence is completed in a time efficient/effective manner including the creation of Critical Path, Proof of Loss, waivers and reservation rights letters.
  • Gatheringinformation from insured members, civil authorities, police, witnesses and other insurers to complete a timely investigation of the motor vehicle accident.
  • Maintainingquality 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.
  • Assistingand participatingin all dispute forums related to policy coverage on behalf of key stakeholders. Providing support and assemblingdocumentation on items in dispute along with resolution recommendations.
  • Keeping claims information confidential to protect operations and insured members.
  • Ensuring data integrity, issuance of payments to vendors, insureds and experts andmaintaining well-organized claim file while ensuring accuracy of data input.
  • Adheringto partner's guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
  • Actively participatingin coaching and training sessions and collaboratingwith team members and management.
  • Takingan active role in creating an environment of continuous improvement of work efficiencies and highlight value work.
  • Performingother duties within competence, as assigned
Qualifications

Let’s Talk About You:

This is the unique blend of skills and experience we would love to see in an ideal candidate:

  • 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.
  • 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.

We also consider your potential. If you know you have what it takes to do the job, but your experience doesn’t exactly match the qualifications above, we encourage you to apply and provide us with more details about why you think you would be a great fit.

Additional Information

Some of the Perks We Offer:

We offer best-in-class pension and benefits, total reward programs and comprehensive mental wellness supports to set you up for every success in and outside of work. Here are just some of the reasons you’ll love working here:

  • Rewarding salary and bonuses that truly value your dedication
  • Industry-leading group benefits with 100% premium coverage (excluding LTD) that start on your first day
  • Defined benefit pension plan for a financially confident retirement
  • 100% coverage of approved continuing education and licensing fees (including RIBOcourses in Ontario)
  • Access to a wealth of learning resources, including LinkedIn Learning for professional development
  • Flexible work-from-home and hybrid options
  • Unlock your potential with opportunities for advancement

Let’s work together If you are interested in this opportunity, please apply online.

OTIP and its group of companies strive to create an accessible and inclusive work environment where everyone is treated with respect and dignity. Upon individual request, we will endeavor to remove any barrier to the recruitment and selection processes and provide accommodations for persons with disabilities.

As a business, we protect what matters most to our members. As an employer, we value what matters most in our workplace. Together, this includes fostering a diverse, equitable and inclusive environment for all. We are committed to learning and evolving so we can continue to celebrate what makes us special. You are who you are, and our differences are what make us unique.

We are an equal opportunity employer and encourage applications from all qualified individuals.We thank all applicants for their interest; however, only candidates selected for an interview will be contacted.

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