Insurance Claims Examiner
1 month ago
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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