Bodily Injury Claims Adjuster I
7 months ago
Company: CUMIS
Department: Claims
Employment Type: Regular Full-Time
Work Model: Hybrid
Language: This role operates in English.
**The Opportunity**:
We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients, and our communities.
The Bodily Injury Claims Adjuster I adjudicates auto and home bodily injury claims. This position investigates and facilitates assigned claims in accordance with the Company and Regulatory guidelines. The role responds to lawsuits against our insured and/or the company as our obligation to their applicable liability policy. The majority of this function involves interacting with policyholders and service providers and providing direction to independent adjusters, defense counsel, medical experts, etc. in the investigation, adjudication and delivery of the claims service.
**How you will create impact**:
- Conduct telephone statements of the involved parties and witnesses to the claim.
- Engage experts including engineers, medical experts, accountants, private investigators, and defense counsel to assess the liability and quantum of a claim.
- Establish and adjust case reserves in accordance with Company Guidelines.
- Negotiate settlement of claims up to $75,000 (or more with approval) either independently with claimant, their legal counsel or through our defense counsel.
- Manage expenses of experts (legal, investigators, accountants, and medical) in the adjudication of the claims.
- Thorough and accurate investigation of claims with effective communication with policyholders, independent adjusters, service providers, management and peers to ensure timely, accurate and professional adjudication of claims.
- Meet established service standards, quality measures and response times, thus enabling employees to ensure a positive client experience.
**How you will succeed**:
- Adhere to customer satisfaction standards to contribute to increased customer retention and reduction of severity in all areas of claims.
- Treat all confidential material with a high level of integrity.
- Ensure effectiveness and efficiency of resource management in achieving results while maintaining consistently high levels of quality, accuracy and timeliness, as well as continuously striving to improve processes, reporting and service levels.
**To join our team**:
- You have completed or are working towards post-secondary education and the Chartered Insurance Professional (CIP) designation.
- You have 3-5 years of automobile claims handling experience in an insurance, financial or legal environment.
- You have working knowledge of the adjudication of automobile injury claims.
- You have project management experience with knowledge of the market and industry.
- You have working knowledge of policy management system, Microsoft Office suite and Outlook.
**What’s in it for you?**:
- Training and development opportunities to grow your career.
- Paid time off to support your personal and family needs.
- A holistic approach to your well-being, with a supportive workplace culture.
- Paid volunteer days to give back to your community.
- A comprehensive total rewards package, including competitive salary, pension and benefits.
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