Claims Examiner

**Purpose**

The Claims Examiner is responsible for directing and/or performing investigation, evaluation, negotiation, and disposition of various types of claims including large loss or issue-oriented, or which involve a great deal of complexity in an examining capacity. The Claims Examiner will have access to highly confidential member and association information, and it is expected and required information be held in the strictest confidence.

**Responsibilities and Activities**
- Appoint, control and direct internal and external service providers, adjusters, legal counsel, and other experts as per industry standards. Ensure coordinated and timely investigation through communication with adjusters, lawyers, and engineers. Manage both defense and coverage counsel experts. Management of external counsel in performing coverage analysis and resolution strategies. On litigated claims this would include development and implementation of defense strategies as well as Alternative Dispute Resolution.
- May need to meet and negotiate with members and give direction to experts in various fields depending on the needs of the situation.
- Able to exercise strong judgment with minimum direction in resolving complex or contentious situations.
- Review and interpret property and liability policy wordings, acts, regulations, and legislation in order to confirm coverage.
- Set reserves and authorize payment within scope of authority and settle claims in the most cost effective and timely manner possible.
- Control indemnity and expenses through proactive claims handling techniques, including the pursuit of subrogation where applicable.
- Ensure all claims negotiations are conducted with integrity and that settlements are accurate and fair.
- Attend training as necessary to ensure skills evolve with changes in the industry.
- Assist the Claims Manager, as necessary.

**Skill/Expertise Required**
- Minimum 5 years claims adjusting or examining experience.
- Experience in Liability/Casualty/Property claims adjusting with associated technical expertise.
- Strong Business Planning and negotiation skills.
- Flexibility and ability to problem solve.
- Enthusiastically support change, share experiences, and actively seek new challenges.
- Strong communication skills, including listening, interviewing, negotiating, and must be able to flex style appropriate to audience.
- Demonstrated organizational skills with the ability to prioritize and manage conflicting priorities in an effective manner.
- Proactive and positive approach to member service ensuring that all enquiries are effectively dealt with in a timely manner.
- Strong interpersonal skills enabling an ability to effectively deal with conflict and difficult situations.
- Strong commitment to the association goals and philosophy.
- understanding of the concept of Reciprocal Insurance Exchanges and the unique Insured; Insurer client relationship they present.

**Education**
- University Degree, College Diploma
- CIP or FCIP, or equivalent experience.
- Valid Alberta Driver’s License

**Contacts**

The Claims examiner reports to the Manager of Claims and works closely with the Claims Examiners, Claims Adjusters and other member of the RMA Insurance team.

Applicants who are extended an employment offer will be required to complete a pre-employment check. All employment offers are contingent upon the successful completion of this pre-employment process.

We thank all applicants in advance of their submissions, but only those chosen for an interview will be notified.

**Job Types**: Full-time, Permanent

**Benefits**:

- Casual dress
- Company events
- Company pension
- Dental care
- Disability insurance
- Employee assistance program
- Extended health care
- Life insurance
- On-site parking
- Paid time off
- Vision care
- Wellness program

Schedule:

- Monday to Friday
- Overtime

Supplemental pay types:

- Overtime pay

**Experience**:

- Claims Examining/Adjusting: 5 years (required)

Licence/Certification:

- FCIP or CIP (required)

Work Location: Hybrid remote in Nisku, AB T9E 8N5

Expected start date: 2023-08-01