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Claims Adjuster 3
2 weeks ago
Job Overview
The Claims Adjuster 3, Casualty plays a key role in supporting Wawanesa's commitment to providing an exceptional claims experience by conducting thorough investigations, evaluations, negotiations, and settlements for complex casualty claims. This position involves explaining policy coverages, maintaining detailed claim files, and ensuring timely and efficient claim management from start to finish.
Job Responsibilities
- Offer strong defense for members by conducting proactive and comprehensive investigations on liability, coverage, and quantum
- Communicate promptly and effectively through various channels to address inquiries professionally
- Handle high-complexity and large-loss Casualty claims
- Interpret policy terms, assess coverage, and communicate decisions clearly to members
- Establish accurate loss reserves by evaluating information from different sources
- Conduct thorough investigations to determine coverages and liability, following adjusting guidelines
- Manage services with vendors like lawyers, engineers, and health practitioners
- Negotiate with claimants, lawyers, and insurers to achieve optimal claim resolutions
- Maintain a diary system, document claim activities, and stay informed on policy coverages and industry trends
- Participate in dispute resolution processes when necessary
- Contribute to employee development through training and guidance
- Perform assigned duties
Qualifications
- Exceptional customer service skills reflecting empathy and member satisfaction
- Minimum of 5 years of insurance adjusting experience, preferably with 3 years in casualty
- Preference for a post-secondary degree
- Commitment to obtaining Chartered Insurance Professional (CIP) designation
- Proficiency in medical and legal terminologies
- Strong communication skills in listening, writing, and speaking
- Excellent investigative and analytical abilities with high attention to detail
- Effective time management and organizational skills in a dynamic environment
- Strong negotiation, decision-making, and critical thinking skills
- Solid teamwork and collaboration skills
Wawanesa is recognized as a top employer in Canada, reflecting its commitment to providing an exceptional workplace.
Diversity, Equity & Inclusion
Wawanesa promotes diversity and inclusion, offering equal opportunities to all employees regardless of their background. The company provides accommodations for individuals with disabilities or medical conditions throughout the recruitment process.
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