Claims Adjuster 2
2 weeks ago
Job Overview
The Claims Adjuster 2, Casualty contributes to Wawanesa's goal of delivering an exceptional and consistent claims experience through proactive and fair investigation, evaluation, negotiation, and settlement of moderate to high casualty 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
- Conduct thorough liability, coverage, and quantum investigations to provide the best defense for members.
- Communicate effectively with members, vendors, and stakeholders through timely and professional correspondence.
- Adjust casualty claims of moderate to high complexity, ensuring accurate and fair outcomes.
- 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.
- Conduct comprehensive investigations to determine coverages and liability, adhering to Wawanesa's adjusting guidelines.
- Coordinate services with vendors and service providers, such as lawyers, engineers, and health practitioners.
- Negotiate with claimants, lawyers, and other insurers to resolve claims at the best possible result for members.
- Maintain an effective diary system and document claim file activities in accordance with established procedures.
- Stay up-to-date with policy coverages, regional regulatory requirements, and industry trends.
Qualifications
- Exceptional customer service skills, demonstrating empathy and concern for member satisfaction.
- 2 years of insurance adjusting experience or equivalent.
- Post-secondary degree is preferred.
- Willingness to work toward Chartered Insurance Professional (CIP) designation and meet licensing requirements.
- Comprehensive knowledge of medical and legal terminology.
- Excellent communication, investigative, and analytical skills.
- Strong teamwork skills, with the ability to collaborate with others.
About Wawanesa Insurance
Wawanesa Insurance is a leading provider of insurance solutions in Canada, recognized for its commitment to excellence and customer satisfaction.
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