Insurance Claims Examiner
7 days ago
Job Overview
The Claims Adjuster, Property contributes to Wawanesa's goals of delivering an exceptional and consistent member experience through the fair and equitable adjustment of low to moderate property claims. This role is responsible for applying and explaining policy coverages and documenting claim files through the life of a claim. The role is accountable for providing timely service and prompt management of your claims pending from initial report to conclusion.
Key Responsibilities
- Provide direction and support to our members, throughout the claims process, by providing exceptional service delivered with empathy.
- Timely and proactive communication, through digital and written correspondence, ensuring that all inquiries are effectively dealt with in a timely and professional manner.
- Adjustment of Property claims of low to moderate complexity.
- Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members.
- Establish timely and accurate loss and expense reserves through the life of the claim through evaluation of relevant information from sources such as appraisers, independent adjusters, and contractors.
- Ensure a comprehensive investigation is conducted on all files to determine coverages and liability, while adhering to Wawanesa's adjusting guidelines, and recognizing when to engage appropriate internal and external resources. Collect evidence to support recovery efforts.
- Coordinate and manage services with vendors and service providers such as appraisers, independent adjusters, and contractors.
- Negotiating and conveying claim settlements within authority limits. Communicating claim decisions promptly and effectively, while still delivering an exceptional member experience.
- Maintain an effective and current diary system and document claim file activities in accordance with established procedures.
- Developing, demonstrating, and maintaining knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable). Remaining current with legislative changes and trends in the insurance industry.
- Demonstrating basic skills to review repair estimates, while developing the skills to create narrative scopes and generating entry-level estimates using an estimating software system.
- Support CAT plan as necessary, including potentially assisting on claims outside of your service area.
- Perform other duties as assigned.
Requirements
- Exceptional customer service skills demonstrating empathy and concern for member satisfaction.
- 1 year of insurance or customer service experience preferred
- Post-secondary degree is preferred
- Willingness to work toward Chartered Insurance Professional (CIP) designation and where required, dedicated to reach the proper licensing requirements.
- Experience utilizing computer technology such as Microsoft Office, email, Web-enabled applications, and database software required.
- Excellent communication skills; listening, written, and spoken.
- Excellent investigative and analytical skills.
- Detail-oriented with a high degree of accuracy regarding data entry.
- Excellent time management and organizational skills with the ability to prioritize in a fast-paced, changing environment.
- Good negotiation, decision-making, and critical thinking skills as well as a willingness to improve.
- Strong teamwork skills with the ability to collaborate with others.
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