Insurance Claims Examiner
2 months ago
We are seeking a highly skilled Claims Advisor to join our team at Peace Hills Insurance. As a Claims Advisor, you will play a critical role in handling both Automobile and Accident Benefits claims, ensuring that our clients receive the best possible service.
Key Responsibilities:
- Verify and explain coverage to clients, ensuring they understand their policy and its application to reported claims.
- Investigate, evaluate, negotiate, and settle total loss claims, determining liability and ensuring fair outcomes.
- Explain the claims process to clients, providing clear guidance on both automobile and accident benefits.
- Obtain recorded statements, collect and review medical documents, and verify employment information.
- Calculate benefit entitlements, authorize treatment, and arrange billing with clients or providers.
- Correspond with doctors, lawyers, treatment providers, employers, and clients, ensuring seamless communication.
- Identify questionable claims, request MSE's, IME's, and IDE's, and arrange treatment at specialized facilities.
- Document activity on the file, issue payments on a timely basis, and liaise with Brokers and Underwriters.
Requirements:
- Minimum of 3+ years of adjusting experience in a similar role, with at least 1 year of Accident Benefits experience preferred.
- Post-secondary diploma or degree, and/or working towards a CIP/FCIP designation, would be considered an asset.
- Ability to negotiate and critically analyze data, with strong decision-making skills.
- Familiarity with auto contract and laws applicable to Accident Benefits coverage, as well as medical terminology and abbreviations.
- Awareness of common types of traumas, their treatments, and recovery periods, and knowledge of human anatomy and physiology.
- Possess highly developed interpersonal, organizational, and time management skills, with strong written and verbal communication skills.
-
Insurance Claims Examiner
1 month ago
Edmonton, Alberta, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster 3, Casualty role at Wawanesa Insurance is a key position in delivering an exceptional and consistent claims experience. This role involves proactive and fair investigation, evaluation, negotiation, and settlement of high complexity and large loss casualty claims. The successful candidate will apply and explain policy...
-
Insurance Claims Examiner
4 weeks ago
Edmonton, Alberta, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster 1, Casualty role at Wawanesa Insurance is a key position in delivering an exceptional and consistent claims experience. As a Claims Adjuster, you will contribute to the company's goal by proactively and fairly investigating, evaluating, negotiating, and settling minor to moderate casualty claims. This role is responsible for...
-
Insurance Claims Examiner
4 weeks ago
Edmonton, Alberta, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster 1, Casualty role at Wawanesa Insurance is a key position in delivering an exceptional and consistent claims experience. As a Claims Adjuster, you will contribute to the company's goal by proactively and fairly investigating, evaluating, negotiating, and settling minor to moderate casualty claims. This role is responsible for...
-
Insurance Claims Examiner
1 month ago
Edmonton, Alberta, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster 3, Casualty role at Wawanesa Insurance is a key position in delivering an exceptional and consistent claims experience. This role involves proactive and fair investigation, evaluation, negotiation, and settlement of high complexity and large loss casualty claims. The successful candidate will apply and explain policy...
-
National Insurance Claims Examiner
1 day ago
Edmonton, Alberta, Canada Aviva Full timeWe are seeking an experienced National Property Claims Examiner to join our National Property Claims team at Aviva.This role involves overseeing and managing third-party adjusted claims and direct handled claims. You will work closely with specialists and vendors, ensuring alignment with Aviva's best practices and handling procedures.Your key...
-
Claims Examiner
2 weeks ago
Edmonton, Alberta, Canada Peace Hills Insurance Full timeWe are seeking a skilled Claims Advisor to join our team at Peace Hills Insurance. As a Claims Advisor, you will play a critical role in handling both Automobile and Accident Benefits claims, ensuring that our clients receive the support they need during challenging times.Key Responsibilities:Verify and explain coverage to clients, ensuring they understand...
-
Insurance Claims Adjuster
2 weeks ago
Edmonton, Alberta, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster 3, Casualty (CGL Non-Auto) plays a crucial 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...
-
Claims Adjuster
2 months ago
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...
-
Claims Adjuster
2 months ago
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...
-
Claims Adjuster
2 months ago
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...
-
Claims Adjuster
2 months ago
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...
-
National Property Claims Examiner
2 weeks ago
Edmonton, Alberta, Canada Aviva Full timeAbout the RoleAviva is seeking a highly skilled National Property Claims Examiner to join our team. As a key member of our National Property Claims team, you will be responsible for overseeing and managing third-party adjusted claims and direct-handled claims.Key ResponsibilitiesManage a portfolio of examining and direct-handled property claims, with a...
-
Insurance Underwriter
6 days ago
Edmonton, Alberta, Canada Akan Insurance Full timeAt Akan Insurance, we are seeking a skilled Insurance Underwriter to join our team. The successful candidate will be responsible for calculating premiums, establishing client insurance coverage, and ensuring that all necessary forms and medical examinations are completed. Additionally, they will be required to monitor insurance claims and respond to client...
-
Insurance Claims Consultant
4 weeks ago
Edmonton, Alberta, Canada Peace Hills Insurance Full timeWe are seeking a dedicated full-time, permanent Property Claims Specialist to join our team. This role involves evaluating, negotiating, and resolving claims associated with personal lines, farm, and commercial insurance policies. The successful candidate will manage claims across various regions, ensuring a comprehensive approach to each case. Key...
-
Insurance Claims Consultant
3 months ago
Edmonton, Alberta, Canada Peace Hills Insurance Full timeWe are seeking a dedicated full-time, permanent Property Claims Specialist to join our team. This role involves evaluating, negotiating, and resolving claims associated with personal lines, farm, and commercial insurance policies. The successful candidate will manage claims across various regions, ensuring a comprehensive approach to each case. Key...
-
Insurance Claims Specialist
1 week ago
Edmonton, Alberta, Canada Peace Hills Insurance Full timeWe are seeking a skilled Insurance Claims Specialist to join our team at Peace Hills Insurance. In this role, you will be responsible for investigating, evaluating, and negotiating claims arising under our policies. Your primary duties will include confirming coverage, obtaining recorded statements, and verifying entitlement to coverage. You will also be...
-
Insurance Claims Specialist
1 month ago
Edmonton, Alberta, Canada Peace Hills Insurance Full timeWe are seeking a skilled Claims Advisor to join our team at Peace Hills Insurance. As a Claims Advisor, you will play a critical role in investigating, evaluating, and settling claims arising under our policies.Key Responsibilities:Verify coverage and entitlement to benefitsObtain and analyze recorded statementsExplain coverage and claims process to...
-
Insurance Claims Specialist
1 month ago
Edmonton, Alberta, Canada Peace Hills Insurance Full timeWe are seeking a skilled Claims Advisor to join our team at Peace Hills Insurance. As a Claims Advisor, you will play a critical role in investigating, evaluating, and settling claims arising under our policies.Key Responsibilities:Verify coverage and entitlement to benefitsObtain and analyze recorded statementsExplain coverage and claims process to...
-
Insurance Claims Representative
1 month ago
Edmonton, Alberta, Canada Definity Full timeJob Title: Insurance Claims RepresentativeDefinity is seeking a highly skilled Insurance Claims Representative to join our team. As an Insurance Claims Representative, you will be responsible for investigating, evaluating, and settling Accident Benefit claims in accordance with the Insurance Act.Key Responsibilities:Investigate and evaluate Accident Benefit...
-
Insurance Claims Representative
1 month ago
Edmonton, Alberta, Canada Definity Full timeJob Title: Insurance Claims RepresentativeDefinity is seeking a highly skilled Insurance Claims Representative to join our team. As an Insurance Claims Representative, you will be responsible for investigating, evaluating, and settling Accident Benefit claims in accordance with the Insurance Act.Key Responsibilities:Investigate and evaluate Accident Benefit...