Insurance Claims Examiner

1 month ago


Mississauga, Ontario, Canada CAA Club Group Full time

Job Summary

The Claims Adjuster, Accident Benefits is a key role within CAA Club Group, responsible for overseeing and handling automobile, long haul trucking, motorcycle, and recreational vehicle Accident Benefits claims. This position requires a dynamic individual with excellent problem-solving skills and the ability to excel in a high-performance environment.

Key Responsibilities

  • Investigate and evaluate claims of moderate to high complexity, ensuring timely and accurate resolution.
  • Provide oversight of external adjusters on outsourced claims, maintaining control over expenses and ensuring compliance with Corporate protocols.
  • Manage challenging coverage claims with tact and professionalism, negotiating with vendors and stakeholders as necessary.
  • Direct vendor partners and obtain approval from Manager on claims above authority.
  • Manage claims in litigation, participate in mediations, pre-trials, and settlement conferences.

Requirements

  • Post-secondary education or equivalent experience.
  • CIP or working towards designation.
  • Minimum of 3-5 years experience handling casualty claims required.
  • Strong organizational, decision-making, and problem-solving skillset.
  • Ability to understand insurance contracts in various jurisdictions.
  • Knowledge of principles and practices of claims settlement, policy wording, fraud investigations, and coverage issues.
  • Ability to cross-reference information with attention to detail.
  • Strong general computer knowledge required.
  • Excellent communication skills, both written and verbal.

What's In It For You

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


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