Insurance Claims Examiner
7 days ago
Curo Claims Services Inc. is seeking a highly skilled Claims Adjuster to join our team. As a Claims Adjuster, you will play a critical role in delivering exceptional customer service and ensuring timely resolution of property insurance claims.
Key Responsibilities- Customer Service: Respond to customer inquiries, initiate and maintain contact with insured members, and provide assistance with commodity claims overflow.
- Claim Investigation: Confirm coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties, and assessing quantum.
- Claim Resolution: Negotiate and resolve property insurance claims of minor to moderate nature in a timely manner.
- Communication: Coordinate, direct, and follow up on work activities performed by outside service providers to completion.
- File Management: Ensure all correspondence is completed in a time-efficient and effective manner, including the creation of Critical Path, Proof of Loss, waivers, and reservation rights letters.
- Investigation: Gather information from insured members, civil authorities, police, witnesses, and other insurers to complete a timely investigation of property loss.
- Quality Service: Maintain quality service and adhere to organizational standards to deal with all aspects of file handling, including reserving, expense, and loss control.
- Dispute Resolution: Assist and participate in all dispute forums related to policy coverage on behalf of key stakeholders.
- Legislative Compliance: Participate in the legislated Property Appraisal Process to resolve quantum disputes during claim file negotiations.
- Condominium Coordination: Identify by-law requirements and standard unit definitions of each province's Condominium policies and coordinate effectively with the Condominium corporation on insured losses.
- Confidentiality: Keep claims information confidential to protect operations and insured members.
- Data Integrity: Responsible for data integrity, issuance of payments to vendors, insureds, and experts, and to maintain well-organized claim files while ensuring accuracy of data input.
- Regulatory Compliance: Adhere to partner's guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
- Team Collaboration: Actively participate in coaching and training sessions and collaborate with team members and management.
- Continuous Improvement: Take an active role in creating an environment of continuous improvement of work efficiencies and highlight value work.
- Education: A post-secondary education and/or college diploma within a related field.
- Certification: CIP designation or working towards designation.
- Licensure: A provincial adjusters license; ability to acquire same.
- Experience: 2+ years' experience with a good understanding of the various property policies.
- Communication Skills: Excellent communication skills, verbal and written, to effectively work with internal and external stakeholders.
- Time Management: Strong time management and organizational skills to manage competing priorities.
- Technical Skills: Current Microsoft Office working knowledge and ability to learn and adapt in a fast-paced environment.
- Collaboration: Ability to work independently and as part of a collaborative team environment.
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