Claims Adjuster 2 Role
4 days ago
Job Overview
The Claims Adjuster 2 role contributes to Wawanesa's goal of delivering an exceptional claims experience through fair investigation, evaluation, and settlement of casualty claims. This position is responsible for applying and explaining policy coverages and documenting claim files. The role is accountable for providing timely service and managing claims from initial report to conclusion.
Key Responsibilities
- Provide a thorough investigation of liability, coverage, and quantum to support claim decisions.
- Communicate effectively with claimants, lawyers, and other insurers to resolve claims.
- Adjust casualty claims of moderate to high complexity, ensuring accurate and timely decisions.
- Review and interpret policy wordings, determining policy coverage and communicating coverage decisions.
- Establish accurate loss and expense reserves, evaluating information from various sources.
- Conduct comprehensive investigations to determine coverages and liability, adhering to Wawanesa's adjusting guidelines.
- Coordinate services with vendors and service providers, such as lawyers, engineers, and accountants.
- Negotiate with claimants, lawyers, and other insurers to resolve claims at the best possible outcome.
- Maintain accurate and current claim files, documenting activities in accordance with established procedures.
- Demonstrate knowledge and understanding of policy coverages, complying with regional regulatory and licensing requirements.
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