Claims Adjuster 2
2 days ago
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 and fair liability, coverage, and quantum investigations to provide the best defense for members.
- Communicate effectively with members, claimants, and other stakeholders through timely and professional voice, digital, and written correspondence.
- Adjust casualty claims of moderate to high complexity, ensuring accurate and timely resolution.
- 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.
- Conduct comprehensive investigations to determine coverages and liability, adhering to Wawanesa's adjusting guidelines and recognizing when to engage 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.
- 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, complying with regional regulatory and licensing requirements.
- 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.
- 2 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.
- Comprehensive knowledge of medical and legal terminology.
- Excellent communication, investigative, and analytical skills.
- 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.
Wawanesa is proud to be one of Canada's top insurance companies and a great place to work.
Diversity, Equity, Inclusion & Belonging
Wawanesa is an equal opportunity employer and is committed to fostering a diverse workforce that is equitable and inclusive for all. Wawanesa provides equal employment opportunity to all employees and applicants without regard to an individual's protected status.
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