Senior Claims Adjuster, Alternative Dispute Resolution Specialist

2 weeks ago


Mississauga, Ontario, Canada CAA Club Group Full time

Job Summary

The Senior Claims Adjuster, Alternative Dispute Resolution (ADR) is a key role within CAA Club Group, responsible for handling disputes on Ontario Accident Benefit files. This position requires a strong understanding of the SABs and experience with License Appeal Tribunal (LAT) work and Accident Benefits (AB) claims handling.

Key Responsibilities

  • Represent the company in negotiation and settlement process at the LAT
  • Identify trends and opportunities to improve the overall quality and performance in the delivery of claims services
  • Demonstrate exposure recognition through proactive file handling with strong analysis
  • Participate in Large Loss Committee on files as applicable
  • Instruct Counsel on files in dispute
  • Liaise with AB department to ensure appropriate reserving and disposition planning is in place
  • Champion change and continuous improvement within AB/ADR and the Claims Department
  • Maintain awareness of case law and industry trends/changes to ensure CAA Club Group is prepared to respond in a manner consistent with its vision and values
  • Provide coaching and mentoring on technical and professional skills while maintaining technical claims and jurisdictional expertise
  • Communicate in a timely and respectful manner with all stakeholders
  • Participate in special projects, assignments and other duties as assigned

Requirements

  • Minimum of 5 years of AB claims experience with solid SABs knowledge and experience with all levels of filing handling
  • Post-secondary education completed in a related field
  • CIP/FCIP designation or working towards completion is preferred
  • ADR/LAT experience, AB adjusting experience
  • Strong understanding of the Insurance acts, Regulations and regulatory compliance
  • Strong analytical thinking and problem solving skills and effective negotiation
  • Detail oriented individual with a customer service focus
  • Exceptional team player yet capable of operating independently
  • Strong written/verbal communication skills
  • Excellent time management skills with an ability to effectively prioritize and produce a quality product
  • Excellent organizational skills to schedule, organize, and carry out work assignments with established work plans and adjust work schedules according to changing priorities
  • Ability to adjust work schedule and participate in extended hours duties as required
  • Strong computer skills including working knowledge of Microsoft Office Suite (MS Word, MS Excel, Outlook) and various Claims systems

What We Offer

  • Competitive total compensation and benefits package
  • Annual shared success program based on performance
  • Annual merit increases based on performance
  • DC Pension Plan with a matching contribution component
  • Complimentary CAA Membership


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