Claims Adjuster

5 days ago


Moncton, New Brunswick, Canada Wawanesa Insurance Full time
Job Summary

The Claims Adjuster - Casualty Specialist plays a pivotal role in Wawanesa Insurance's commitment to delivering exceptional and consistent claims experiences. This position involves proactive investigation, evaluation, negotiation, and settlement of complex and large-loss casualty claims.

Key Responsibilities
  1. Provide thorough liability, coverage, and quantum investigations to defend members' interests.
  2. Communicate effectively with stakeholders through various channels, ensuring timely and professional responses to inquiries.
  3. Adjust high-complexity and large-loss casualty claims, considering all relevant factors.
  4. Review policy wordings, determine coverage, and communicate decisions to members.
  5. Evaluate information from diverse sources to establish accurate loss and expense reserves throughout the claim's life cycle.
  6. Conduct comprehensive investigations to determine coverages and liability, adhering to Wawanesa's adjusting guidelines and engaging internal and external resources when necessary.
  7. Ccoordinate services with vendors and service providers, including lawyers, engineers, accountants, and health practitioners.
  8. Negotiate with claimants, lawyers, and insurers to resolve claims favorably for our members, managing litigation, mediation, or arbitration as needed.
  9. Maintain an effective diary system and document claim file activities according to established procedures.
Requirements
  • Demonstrate exceptional customer service skills, empathy, and concern for member satisfaction.
  • Possess 3+ years of insurance adjusting experience or equivalent.
  • A post-secondary degree is preferred.
  • Be willing to pursue the Chartered Insurance Professional (CIP) designation and meet licensing requirements where applicable.
  • Show excellent knowledge of medical and legal terminology.
  • Demonstrate excellent communication, investigative, analytical, time management, organizational, negotiation, decision-making, and critical thinking skills.
  • Exhibit strong teamwork skills and ability to collaborate with others.
Estimated Salary: $70,000 - $100,000 per annum
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