Claims Adjuster
4 weeks ago
Job Overview
The Claims Adjuster, Casualty (Intermediate to Senior) plays a crucial role in delivering an exceptional and consistent claims experience at Wawanesa Insurance. This position 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 coverages, document claim files, and provide timely service throughout the life of a claim.
Key Responsibilities
- Conduct thorough liability, coverage, and quantum investigations to provide the best defense for members.
- Communicate effectively with members, stakeholders, and internal teams to ensure timely and professional resolution of claims.
- Adjust casualty claims of high complexity and large loss, ensuring accurate and fair outcomes.
- Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members.
- Establish timely and accurate loss and expense reserves throughout the life of the claim.
- Conduct comprehensive investigations to determine coverages and liability, adhering to Wawanesa's adjusting guidelines.
- Coordinate and manage services with vendors and service providers, such as lawyers, engineers, and health practitioners.
- Negotiate with claimants, lawyers, and other insurers to resolve claims at the best possible outcome for members.
- Maintain an effective and current diary system and document claim file activities in accordance with established procedures.
- Demonstrate and maintain knowledge and understanding of policy coverages, complying with regional regulatory and licensing requirements.
Qualifications
- Exceptional customer service skills, demonstrating empathy and concern for member satisfaction.
- 3+ years of insurance adjusting experience or equivalent.
- Post-secondary degree is preferred.
- Willingness to work toward Chartered Insurance Professional (CIP) designation and where required, dedicated to reach the proper licensing requirements.
- Excellent knowledge of medical and legal terminology.
- Excellent communication, investigative, and analytical skills.
- Excellent time management and organizational skills, with the ability to prioritize work in a fast-paced environment.
- Strong teamwork skills, with the ability to collaborate with others.
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