Claims Adjuster 3
5 days ago
The Claims Adjuster 3, Casualty (CGL Non-Auto) plays a pivotal role in delivering an exceptional and consistent claims experience through proactive and fair investigation, evaluation, negotiation, and settlement of high complexity and large loss casualty claims. This role is responsible for applying and explaining policy coverages and documenting claim files throughout the life of a claim.
Key Responsibilities- Provide a robust defense for members through proactive, fair, and thorough liability, coverage, and quantum investigation.
- Ensure timely and proactive communication, through voice to voice, digital, and written correspondence, effectively addressing all inquiries in a timely and professional manner.
- Adjust casualty claims of high complexity and large loss.
- Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members.
- Establish timely and accurate loss and expense reserves throughout the life of the claim through evaluation of relevant information from various sources, such as independent adjusters, medical, legal, financial, and vocational.
- Conduct a comprehensive investigation on all files to determine coverages and liability, adhering to Wawanesa's adjusting guidelines and recognizing when to engage appropriate internal and external resources.
- Coordinate and manage services with vendors and service providers, such as lawyers, engineers, accountants, and health practitioners.
- Negotiate with claimants, lawyers, and other insurers to resolve claims at the best possible result for our members. Manage claims in litigation, mediation, or arbitration. Provide instruction to assigned counsel.
- Maintain an effective and current diary system and document claim file activities in accordance with established procedures.
- Demonstrate and maintain knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable). Remain current with legislative changes and trends in the insurance industry.
- Occasionally participate in private mediation, court proceedings, and other dispute resolution as required.
- Contribute to employee development through training, technical guidance, and coaching.
- Exceptional customer service skills demonstrating empathy and concern for member satisfaction.
- 5-10 years of insurance adjusting experience or equivalent.
- Post-secondary degree is preferred.
- Willingness to work toward Chartered Insurance Professional (CIP) designation and where required, dedicated to reach the proper licensing requirements.
- Excellent knowledge of medical and legal terminology.
- 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 work in a fast-paced, changing environment.
- Excellent negotiation, decision-making, and critical thinking skills.
- Strong teamwork skills with the ability to collaborate with others.
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Edmonton, Alberta, Canada Curo Claims Services Inc. Full timeJob Title: Claims AdjusterCuro Claims Services Inc. is seeking a skilled Claims Adjuster to join our team. As a Claims Adjuster, you will play a critical role in delivering exceptional customer service and resolving property insurance claims in a timely and efficient manner.Key Responsibilities:Customer Service: Respond to general inquiries, initiate and...
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Claims Adjuster
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Edmonton, Alberta, Canada Curo Claims Services Inc. Full timeAbout the RoleCuro 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 that claims are handled efficiently and effectively.Key ResponsibilitiesCustomer Service: Respond to customer inquiries, initiate and maintain contact...
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Claims Adjuster
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Edmonton, Alberta, Canada Curo Claims Services Inc. Full time{"title": "Property Claims Adjuster", "subtitle": "Join Curo Claims Services Inc. as a Property Claims Adjuster", "content": "As a Property Claims Adjuster at Curo Claims Services Inc., you will play a critical role in delivering exceptional customer service and ensuring timely resolution of property insurance claims. Your primary responsibilities will...
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Claims Adjuster
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Edmonton, Alberta, Canada Curo Claims Services Inc. Full time{"title": "Property Claims Adjuster", "subtitle": "Join Curo Claims Services Inc. as a Property Claims Adjuster", "content": "As a Property Claims Adjuster at Curo Claims Services Inc., you will play a critical role in delivering exceptional customer service and ensuring timely resolution of property insurance claims. Your primary responsibilities will...
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Claims Adjuster
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Edmonton, Alberta, Canada Xpera Full time{"Job Title: Property Claims AdjusterAbout the Role:We are seeking a skilled Property Claims Adjuster to join our team at Xpera. As a Property Claims Adjuster, you will be responsible for investigating and adjusting property claims in a timely and efficient manner. This role requires strong analytical and communication skills, as well as the ability to work...
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