Adjuster Ii

4 months ago

Winnipeg, Canada Saskatchewan Government Insurance Full time

Do you value integrity and innovation? How about passion and caring? Great Us too, and that's why you'll fit right in. Our intentional culture promotes trust and participation, encouraging you to bring your heart and mind to work every day.

Adjuster II (Property)

Location: Winnipeg Office (Hybrid option) This means you’ll have the flexibility of working from home and in the office on a scheduled rotation once probation is completed.

In scope

Closes September 27, 2024

GENERAL ACCOUNTABILITY

The Adjuster II (Property) is responsible for adjusting a wide range of complex claims. The Adjuster II (Property) collects, reviews, investigates, and analyzes claims related information and interprets applicable acts, regulations, and policy coverages to negotiate settlement of various types of claims. The Adjuster II (Property) conducts or directs site visits to determine the scope of the damage or loss. This position participates in a standby rotation during busy Claims seasons in assigned areas.

KEY ACCOUNTABILITIES
- Note: This section is not intended to be an exhaustive list of duties and responsibilities - other duties and responsibilities may be assigned._

Claims Administration and Adjusting- Interviews customers, taking initial reports of claims, and collecting all pertinent loss information and settles moderately complex and complex claims that must factor in a wide range of variables to establish an accurate value.- Submits assignments to vendors to complete repairs and/or inspections.- Conducts or directs site visits to determine the scope of the damage or loss, which, depending on the nature of the claim, may require the use of a ladder.- Sets up claim files, determines cause of loss, establishes, and adjusts reserves, and completes all necessary claims reporting forms and documents.-
- Determines coverage and/or validity of claims through policy wordings and/or other related acts and their regulations.- Explains coverages, benefits, breaches of condition and/or exclusions to customers and/or their representatives, brokers, or other parties as required.- Contacts and/or interviews other personnel, brokers, customers, witnesses, third parties, outside adjusters, contractors, retail or repair firms, police and fire departments, legal representatives, medical professionals, or other external persons as required.- Obtains statements under oath, proofs of loss, medical reports, non-waiver agreements, final releases, salvage releases, and other documents related to the settlement and disposition of claims.- Creates and adjusts estimates, using estimating software, alters estimates sent in by third-party vendors if needed and applies applicable coverages, e.g., limited replacement cost for roofing materials.- Responds to questions and/or correspondence regarding the status and disposition of claim files.- Determines actual cash value and/or replacement cost of customers’ articles. Maintains claims records and files in a current and orderly fashion in accordance with departmental, divisional, and/or corporate procedures and standards.- Refers claims of a suspicious or contentious nature or of a large dollar magnitude to the proper level of authority for assistance.- Assesses degree of negligence and/or the extent of quantum in claims of liability or bodily injury.- Determines possibility of subrogation and takes appropriate action.- Negotiates settlements with customers and/or representatives.- Provides approval, prepares claim files for legal action, further investigation, and review by other personnel, and/or denial.- Reconciles invoices against estimates of damage or loss and processes accounts and expenses for payment.- Represents the interests of the corporation in Small Claims Court and/or other judicial, legal, institutional, or regulatory groups or bodies.- Attends to road assignments and adjusts claims arising at some distance from established headquarters (in positions where required).- Hires, oversees, ensures quality of work, and evaluates the performance of vendors and contractors.- Participates in the review and development of new products, procedures, and programs.- Evaluates, obtains insureds approval, and processes requests for payments from vendors.-
- Maintains ongoing customer contact during claim process, which can range from a couple of months to a couple of years.- Identifies salvage opportunities, determines value with cooperation of salvage department, and may coordinate sale back to customer, or arrange picks up by third party or salvage for future sale.

Customer Experience and Relationship Management- Maintains relationships and communication with broker partners and vendors to promote trust and confidence in claims processes and procedures.- Explores and presents new information from industry sources, implementing new ideas to streamline and improve internal processes.- Delivers an easy, convenient, seamless experience for customers, from the moment they report their claim t

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