Claims Adjuster 2
2 weeks ago
Job Overview
The Claims Adjuster 2, Casualty role at Wawanesa Insurance is a key contributor to delivering an exceptional and consistent claims experience. This position involves proactive and fair investigation, evaluation, negotiation, and settlement of moderate to high casualty claims. The successful candidate will apply and explain policy coverages, document claim files, and provide timely service and prompt management of claims.
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 moderate to high complexity, 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 claim lifecycle.
- 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 health practitioners.
- Negotiate with claimants, lawyers, and other insurers to resolve claims at the best possible outcome for members.
- Maintain an effective diary system and document claim file activities in accordance with established procedures.
- Stay up-to-date with policy coverages, regional regulatory requirements, and industry trends.
- Participate in private mediation, court proceedings, and other dispute resolution as required.
- Contribute to employee development through training, technical guidance, and coaching.
Qualifications
- Exceptional customer service skills, demonstrating empathy and concern for member satisfaction.
- 5 years of insurance adjusting experience or equivalent.
- Post-secondary degree is preferred.
- Willingness to work toward Chartered Insurance Professional (CIP) designation and meet licensing requirements.
- Comprehensive knowledge of medical and legal terminology.
- Excellent communication, investigative, and analytical skills.
- Strong time management, organizational, and negotiation skills.
- Ability to work collaboratively with others.
About Wawanesa Insurance
Wawanesa Insurance is a leading provider of insurance solutions in Canada, recognized for its commitment to excellence and customer satisfaction. We are an equal opportunity employer, dedicated to fostering a diverse and inclusive workforce.
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