Field Examiner

Found in: Jooble CA O C2 - 1 week ago

Waterloo ON, Canada Ontario Teachers Insurance Plan Full time

The Senior Bodily Injury Examiner is responsible for the investigation, quantification, analysis, adjustment and settlement of complex property and casualty claims in excess of $250,000. This role will focus on quality and customer service, by assessing and assigning the appropriate expert and vendor to each claim. The adjustment will be conducted in an efficient and effective manner to control the indemnity, spend and expenses without compromising the delivery of superior customer service. Reporting to the Curo Claims Services Vice President, you’ll be responsible for:
Deliveringa superior customer experience by responding to all general inquires, initiating and maintain contact with insured members, and assisting with commodity claims overflow.
Confirming coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, investigation of questionable claims, studying case law for liability and benefit determination, completing contractual coverage analysis, and assessing quantum, reviewing subrogation opportunities, negotiating, and resolving severity casualty matters.
Maintainingquality service and adheres to organizational standards while dealing with all aspects of file handling including reserving, expense and loss control, liability assessments, and creating defined disposition plans for future handling leading to file closure.
Controllingand directingwork performed by outside experts, medical practitioners, lawyers, and service providers to completion.
Maintainingconfidentiality of claims information at all times to protect operations and insured members.
Responsible for data integrity, issuance of payments to vendors, insureds, and experts and for maintaining well-organized claim files 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 collaborates with team members and management.
A post-secondary education and/or college diploma within related field
~ Ability to hold an adjuster’s license.
~ 7-10 years of experience in casualty claims handling including litigation file management.
~ Knowledge of medical rehabilitation concepts and medical
~ Superior organizational skills to manage competing priorities, including project management skills.
~ Current Microsoft Office working knowledge.
~ Ability to learn and adapt in a fast-paced environment including working with various computer programs, databases, and software.
~ The ability to communicate in French is asset.

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. Defined benefit pension plan for a financially confident retirement
~100% coverage of approved continuing education and licensing fees (including RIBOcourses in Ontario)
~ Flexible work-from-home and hybrid options
~ If you are interested in this opportunity, please apply online.
Upon individual request, we will endeavor to remove any barrier to the recruitment and selection processes and provide accommodations for persons with disabilities.

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