Senior Claims Adjuster, Alternative Dispute Resolution Specialist

3 weeks ago

Mississauga, Ontario, Canada CAA Club Group Full time

Job Summary

The Senior Claims Adjuster, Alternative Dispute Resolution (ADR) Specialist is responsible for handling disputes on Ontario Accident Benefit files. This role requires a strong understanding of the SABs and experience with License Appeal Tribunal (LAT) work and Accident Benefits (AB) claims handling.

Key Responsibilities

  • Attend LAT conferences/hearings and represent the company in negotiation and settlement process at the LAT
  • Identify trends and opportunities to improve the overall quality and performance in the delivery of claims services
  • Demonstrate exposure recognition through proactive file handling with strong analysis
  • Participate in Large Loss Committee on files as applicable
  • Instruct Counsel on files in dispute
  • Liaise with AB department to ensure appropriate reserving and disposition planning is in place
  • Champion change and continuous improvement within AB/ADR and the Claims Department
  • Maintain awareness of case law and industry trends/changes to ensure Echelon is prepared to respond in a manner consistent with Echelon's vision and values
  • Provide coaching and mentoring on technical and professional skills while maintaining technical claims and jurisdictional expertise
  • Communicate in a timely and respectful manner with all stakeholders
  • Participate in special projects, assignments and other duties as assigned

Requirements

  • Minimum of 5 years of AB claims experience with solid SABs knowledge and experience with all levels of filing handling
  • Post-secondary education completed in a related field
  • CIP/FCIP designation or working towards completion is preferred
  • ADR/LAT experience, AB adjusting experience
  • Strong understanding of the Insurance acts, Regulations and regulatory compliance
  • Strong analytical thinking and problem solving skills and effective negotiation
  • Detail oriented individual with a customer service focus
  • Exceptional team player yet capable of operating independently
  • Strong written/verbal communication skills
  • Excellent time management skills with an ability to effectively prioritize and produce a quality product
  • Excellent organizational skills to schedule, organize, and carry out work assignments with established work plans and adjust work schedules according to changing priorities
  • Ability to adjust work schedule and participate in extended hours duties as required
  • Strong computer skills including working knowledge of Microsoft Office Suite (MS Word, MS Excel, Outlook) and various Claims systems

What We Offer

  • Competitive total compensation and benefits package
  • Annual shared success program based on performance
  • Annual merit increases based on performance
  • DC Pension Plan with a matching contribution component
  • Complimentary CAA Membership

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