Catastrophic Claims Adjuster

7 months ago

Edmonton, Canada Definity Financial Corporation Full time

Job ID : 7017
Category : Claims
Brand : Definity
Regular/Temporary : Regular
Fulltime/Parttime : Full Time
Location : Edmonton, Canada

Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back to 1871, we’ve grown to become a digital leader in the insurance industry. We’re proud to help our clients and communities adapt and thrive in a world of constant change.

Our promise to you: It’s better here. Why? Because we CARE, and we provide an employee experience that’s collaborative, ambitious, rewarding, and empowering.

Our ambition is to be one of Canada’s leading and most innovative P&C insurers. Come be a part of our journey, and love what you do.

Definity offers a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Leaders partner with their teams to find the right balance of on-site and remote work that best meets the needs of their teams, colleagues, brokers and customers, while ensuring collaboration, teamwork and accountability for goals.

Reporting to the Team Leader CAT the incumbent is accountable for adjusting files to ensure investigation, evaluation and the settlement of moderate to complex first party Personal and Commercial claims as per Economical Catastrophe claims standards while deployed anywhere in Canada with little notice. The incumbent also reviews and interprets policy wordings regulations and legislation to determine coverage. The Property CAT Representative is professional, friendly and courteous in all interactions, whether with co-workers or customers. This person remains calm under pressure. The incumbent performs well in a busy environment. His or her overall business approach includes teamwork, ownership and flexibility. The incumbent is required to travel to Catastrophe sites with little notice. Will be required to man evacuation centers as required. The incumbent will have significant autonomy, will work alone often without a base of operations. They typical CAT day is 7AM to 7PM 6 or 7 days per week depending on the event and the response required. When not deployed the incumbent will fill a work force optimization role. They will be called upon to supplement the National Appraisal team in which case they will assist with large loss quantifications, reinspection’s or exceptions. They will also be called upon to perform CAT clean up duties or supplement the national adjusting ranks to support absences. The incumbent also provides guidance, on the job training, technical direction, coaching and mentoring to Claim Professionals relative to estimates, vendor management and complex structural commercial building damage large losses.

**Your Responsibilities**
- Deploys approved Economical loss cost control programs and technology to investigate, negotiate and settle moderate to complex personal and commercial claims as assigned. Adjusts files to ensure that full investigation of loss site has occurred in person or through use of Economical quantification programs.
- Develops and records information pertaining to the claim and or coverage, documenting notes in the appropriate system(s) and driving the claim towards final disposition. Responds to written and telephone inquiries and new claim assignments promptly as per Economical guidelines. Reviews and interprets policy wordings, acts, regulations, legislation and contracts to assess impact on coverage. Reviews claim evidence, statements, photos, and investigative documentation to assist in identifying subrogation opportunities or identifying potential third-party liability exposure. Identifies and processes all salvage.Retains and directs appropriate vendors & experts within corporate guidelines.
- Supports regional adjusting function while not deployed on CAT by working catastrophe clean up and backfilling team mates will on approved absence. Supports national appraisal function while not deployed on CAT by completing reinspection’s, managing exceptions through the Contractor Connection program, completes large loss appraisals and tasks on behalf of region partners.
- Writing denial letters, Reservations of Rights and other complex correspondence when required. Maintaining an effective diary system to ensure proactive claim file management and disposition.

**Your Skills and Experience**
- University degree or a college diploma (specified field) or the CIP designation and a minimum of 2 years as a loss adjuster or appraiser.
- Demonstrated ability to complete scopes of repair for up to moderately complex losses
- Understanding of Provincial and National Building Codes along with a solid understanding of residential and commercial construction terminology, techniques and best practices.
- Experience with estimating software platforms including Xa

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