Claims Representative

7 months ago

Edmonton, Canada PORTAGE MUTUAL INSURANCE Full time

Summary:
Operating with the utmost good faith and the customer’s interests in mind, the Telephone Claims Representative will directly investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with Best Practices of the Company. They must have knowledge in property, automobile and/or liability insurance. The Claims Representative will attend the loss site, gather details of the loss, secure statements, review scopes, and work closely with both customers and service providers to bring claims to resolution. They analyze coverage and determine eligibility, and inform customers and brokers of the findings both verbally and in writing. They identify risks requiring underwriting reviews and notify underwriting accordingly. The Claim Representative will focus primarily on fire, water and weather claims. They may conduct task investigations for the benefit of the Claims Examiners or Telephone Claims Representatives

Major Responsibilities:

- Review new losses and prepare investigation plan.
- Contact the insured to discuss loss details and arrange inspection appointment.
- Attend loss scene to confirm facts of loss through various investigation methods.
- Work with policyholder to explain claims process to ensure efficient claims experience.
- Secure statements with policyholders, third parties, independent witnesses as necessary
- Secure photographs and diagrams of loss scenes.
- Collect evidence to preserve subrogation as necessary.
- Engage experts (engineers, appraisers, etc.) as needed to assist in determining facts.
- Evaluate liability and identify subrogation opportunities.
- Identify salvage opportunities and ensure efficient disposal.
- Obtain officials reports - police, fire and medical providers
- Obtain details of overall risk and relay any potential hazards/concerns to underwriting.

Schedule:

- 8 hour shift

**Education**:

- Secondary School (preferred)

**Experience**:

- Adjusting: 2 years (preferred)

**Language**:

- English (preferred)

Work Location: On the road

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