Claims Representative

3 weeks ago

Hamilton, Canada City of Hamilton Full time

**About the City of Hamilton**

**Contribute to the City of Hamilton, one of Canada’s largest cities - home to a diverse and strong economy, an active and inclusive community, a robust cultural and dining scene, hundreds of kilometres of hiking trails and natural beauty just minutes from the downtown core, and so much more. Join our diverse team of talented and ambitious staff who embody our values of sensational service, courageous change, steadfast integrity, collective ownership and being engaged empowered employees. Help us achieve our vision of being the best place to raise a child and age successfully. #BeTheReason**

**JOB POSTING**

JOB ID #: 20198

Claims Representative
Corporate Services
Legal & Risk Management Services
50 Main St., E.

NUMBER OF VACANCIES: 1

UNION/NON-UNION: Non Union Mgmt Professional

HOURS Of WORK: 35.00 per week
- GRADE: 3
- SALARY/HOUR: $34.660 - $40.537 per hour- Note: See appropriate Collective Agreement or the Non Union Salary Range for details.

STATUS/LENGTH: Full-Time Regular

Job Description ID #: 304

**Vaccine Verification - **As a condition of employment you are required to provide proof that you are fully vaccinated or provide proof of valid exemption satisfactory to the employer prior to your start date. You must acknowledge and agree to comply with any future vaccine policy requirements as an ongoing condition of employment at the City of Hamilton.

SUMMARY OF DUTIES

Under the direction of the Manager, Risk Management Services or Supervisor, Claims Administration, or Corporate Risk Compliance Officer, investigates, negotiates, mitigates and settles claims made against the City/entities, for bodily injury, automobile accident benefits, general liability and property losses, including subrogation within authorized limits and first party property losses. Follows and develops procedures to ensure proper and efficient handling of claims, gathering of data on claims for both record keeping, loss forecasting purposes, estimating the financial value of claims (reserves), and providing fundamental risk transfer information for City documents.

GENERAL DUTIES

Investigate, negotiate, resolve or deny claims made against the City/entities for bodily injury, automobile accident benefits, property losses and general liability within authorized limits as delegated by the Manager.

Pursue subrogation recoveries or similar matters involving recovery of amounts due to the City, including using the Small Claims court process.

Prepare court filings or other legal process under the direction of a lawyer/law clerk team.

Pursue recoveries from persons, insurers or other sources of compensation. Draft the necessary documents for Small Claims Court.

Negotiate with defendants and/or their insurance or legal representatives. Attend and speak at Small Claims pre-trials and trials as necessary, may be accompanied by Senior Risk Management staff for on the spot approval/direction.

Attend and photograph as required, accident or loss scenes.

Attend and secure statements from claimants and witnesses to assist in determining liability and negotiating compensation or resolve losses.

Provide legal staff with direction for claims in litigation that are within authority level.

Set up and enter new claims into the RMS claims system with appropriate reserves and data in accordance with departmental procedure and completes the timely updating and amending of data and reserves for existing claims as information becomes available.

Retain the services of outside experts such as appraisers, engineers, medical specialists and rehabilitation firms. Review their reports and take actions as necessary.

Receive and answer inquiries from the public, staff, elected officials, other departments, lawyers, and insurance company representatives.

Document and maintain claims files and RMS claims system to ensure that complete and accurate records are available for reference to support City, departmental or legal requirements.

Prepare reports, system reports and records as directed.

Provide informational updates and receive direction on significant claims and risk management issues from the Manager of Risk Management as required by authority level delegated by the Manager.

Provide fundamental risk transfer advice and information to client departments on proof of insurance documentation in compliance with contract requirements, under the guidance of the Manager of Risk Management or Corporate Risk Compliance Officer.

Conduct research under the direction of the Manager of Risk Management or Corporate Risk Compliance Officer in contribution to the task of procuring insurance coverage for the City on an annual basis.

Communicate and liaise with various other City departmental staff to provide a review of loss data and risk management services.

Review findings and analysis with the Manager of Risk Management, Supervisor, Claims Administration, and Corporate Risk Compliance Officer.

Review assigned depart

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