Senior Claims Adjuster, Alternative Dispute Resolution Specialist
4 weeks ago
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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Mississauga, Ontario, Canada CAA Club Group Full timeJob SummaryThe 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...
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