Insurance Casualty Adjuster
2 days ago
Job Overview
The Claims Adjuster 2, Casualty contributes to Wawanesa’s goal of delivering an exceptional and consistent claims experience through proactive and fair investigation, evaluation, negotiation, and settlement of moderate to high casualty claims. This role is responsible for applying and explaining policy coverages and documenting claim files through the life of a claim. The role is accountable for providing timely service and prompt management of your claims pending from initial report to conclusion.
Key Responsibilities
- Provide thorough and fair investigations of liability, coverage, and quantum to ensure the best possible outcome for our members.
- Communicate effectively with claimants, lawyers, and other insurers to resolve claims in a timely and professional manner.
- Review and interpret policy wordings to determine policy coverage and communicate coverage decisions to members.
- Evaluate information from various sources to establish timely and accurate loss and expense reserves throughout the life of the claim.
- Conduct comprehensive investigations to determine coverages and liability while adhering to Wawanesa’s adjusting guidelines.
- C coordinate and manage services with vendors and service providers, such as lawyers, engineers, accountants, and health practitioners.
- Negotiate with claimants, lawyers, and other insurers to resolve claims at the best possible result for our members.
- Maintain accurate and up-to-date claim file activities in accordance with established procedures.
- Demonstrate and maintain knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements.
- Occasionally participate in private mediation, court proceedings, and other dispute resolution as required.
Qualifications
- Exceptional customer service skills demonstrating empathy and concern for member satisfaction.
- 2 years of insurance adjusting experience or equivalent.
- Post-secondary degree is preferred.
- Willingsness to work toward Chartered Insurance Professional (CIP) designation and where required, dedicated to reach the proper licensing requirements.
- Comprehensive knowledge of medical and legal terminology.
- Excellent communication skills; listening, written, and spoken.
- Excellent investigative and analytical skills. Detail oriented with a high degree of accuracy regarding data entry.
- Excellent time management and organizational skills with the ability to prioritize work in a fast-paced, changing environment.
- Excellent negotiation, decision-making, and critical thinking skills.
- Strong teamwork skills with the ability to collaborate with others.
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