Claims Advisor

4 weeks ago


Edmonton, Alberta, Canada Peace Hills Insurance Full time

We are seeking a highly skilled Property Claims Advisor to join our team at Peace Hills Insurance. As a Property Claims Advisor, you will be responsible for evaluating, negotiating, and settling claims arising under personal lines, farm, and commercial policies.

Key Responsibilities:

  • Evaluate and settle claims in accordance with company policies and procedures
  • Communicate directly with insureds and assist them through the claims process to facilitate fair and reasonable settlements
  • Review all information available to confirm coverage is in place and applies to the reported claim
  • Explain coverage and the claims process to Insureds and claimants
  • Evaluate potential opportunities for recovery including through subrogation and salvage
  • Collect and review documents and other relevant information that assist in the evaluation and quantification of the claim file
  • Set, evaluate, and maintain appropriate reserves based on the expected final payout
  • Provide direction and guidance to independent adjusters and legal counsel
  • Retain and/or coordinate the retention of appropriate external resources as required
  • Oversee, monitor, and control costs associated with external resources
  • Evaluate and adjust claims in accordance with the company's customer service standards
  • Correspond verbally and in writing within and outside of the organization
  • Maintain and keep current file diaries and abeyances
  • Identify potentially fraudulent claims and coordinate file activity with the Special Investigations Unit

Required Qualifications:

  • CIP/FCIP designation preferred
  • Minimum of 5 years previous property claims experience is required
  • Strong knowledge of property policies and wordings
  • Excellent interpersonal verbal and written communication skills and the ability to deliver messages with tact and diplomacy
  • Strong organizational and time-management skills
  • Ability to make decisions that support the company's claims handling philosophy

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