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Senior Claims Adjuster

1 month ago

London, Ontario, Canada Xpera Full time

Job Summary

Xpera is seeking a highly skilled Senior Claims Adjuster to join our team. As a Senior Claims Adjuster, you will be responsible for managing and assisting in the collection of account receivables, managing direct reports' billings, and maintaining the level of interims as per company standards.

Key Responsibilities

  • Financial Management: Responsible for the management and assist in the collection of account receivables, management of direct reports' billings, and maintaining the level of interims as per company standards.
  • File Quality / Customer Service: In preparation for QA file reviews, review billings and fees in accordance with client billing expectations and corporate standards, handle insured and client complaints, monitor and ensure resolutions reached, review, analyze, revise, and sign adjuster's reports, ensuring compliance/accuracy and efficiency, review fees for accuracy and quality.
  • Technical Expertise and Support: Act in a consultative and advisory capacity on claims matters and technical issues such as coverage analysis, subrogation, liability determination, investigation, policy interpretation, settlement negotiation, and reserve establishment for claims, adjuster production, manage budgeted revenue expectations in conjunction with individual adjuster production, works with Supervisor, Administrative Support to coordinate effective file support for adjusters.
  • Employee Development: Prepare and discuss performance reviews with staff members, provides guidance and feedback regarding performance, support technical training and other development requirements, coordinate and facilitate staff meeting on a regular basis, in conjunction with the Licensing Officer, monitor and track licensing status/issues with FSRA and manage criteria for all direct reports.
  • Resource Management: Monitor and assess resources (capacity) vs. volume in conjunction with Human Resources and the management team, responsible for the recruitment and selection of staff.
  • Business Development: Responsible for meeting business development objectives as set out by the Corporation.

Requirements

  • University degree/college diploma preferred or equivalent business experience.
  • CIP / FCIP designation or actively pursuing and/or nearing completion of same.
  • Minimum of 10 years claims adjusting experience with experience at the management level.
  • Field Claims adjusting experience required.
  • Proficient with MS Office skills (Outlook, Word, Excel, PowerPoint, Explorer).
  • Strong communication skills, including listening, interviewing, negotiating, and must be able to flex style appropriate to audience.
  • Demonstrated organizational skills with the ability to prioritize and manage conflicting priorities in an effective manner.

Competencies

  • Management abilities - demonstrated skills to effectively manage people and service, using a fiscally responsible approach and an entrepreneurial focus.
  • Leadership skills - the ability to lead people effectively.
  • Business Acumen - the ability to initiate and contribute to business development through visibility, displaying of technical expertise and networking.
  • Initiative - must be able to proactively identify new opportunities within the industry and successfully lead those opportunities to conclusion.
  • Determination – the ability to continue to strive for a solution despite obstacles from others and/or uncontrollable situations.
  • Achievement Orientation - demonstrated initiative and resourcefulness to achieve desired goals and objectives.
  • Problem Solving - the ability to look at situations and barriers to creatively provide solutions that meet the needs of all parties in the best collective manner possible.
  • Service Orientation - Creates and sustains an organizational culture which encourages others to provide the quality of service essential to high performance.