Claims Adjuster Level 1
2 weeks ago
Job Overview
The Claims Adjuster level 1 & 2, Accident Benefits contributes to Wawanesa’s goal of delivering an exceptional and consistent member experience through the fair and equitable adjustment of moderate to high complexity accident benefit 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.
Job Responsibilities
Provide direction and support to our injured members through throughout the claims process, by providing an exceptional member experience delivered with empathy. Timely and proactive communication, through voice to voice, digital and written correspondence, ensuring that all inquiries are effectively dealt with in a timely and professional manner. Adjustment of Accident Benefit claims of moderate to high complexity. Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members. Establish timely and accurate loss and expense reserves throughout the life of the claim through evaluation of relevant information from various sources such as medical, legal, financial, and vocational. Ensure a comprehensive investigation is conducted on all files to determine coverages and liability, while adhering to Wawanesa’s adjusting guidelines, and recognizing when to engage appropriate internal and external resources. Coordinate and manage services with vendors and service providers such as accountants, lawyers, rehabilitation clinics and health practitioners. Negotiating and conveying claim settlements within authority limits. Communicating claim decisions promptly and effectively, while still delivering an exceptional member experience. Manage claims in litigation, mediation, or arbitration. Provide instruction to assigned counsel. Maintain an effective and current diary system and document claim file activities in accordance with established procedures and Wawanesa's Proactive Case Management Model. Demonstrate and maintain knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable). Remaining current with legislative changes and trends in the insurance industry. Liaise with claimants, doctors and rehabilitation specialists Doctors, Lawyers, Employers, Treatment Providers, Case managers, Clinical Resource Team, Return to Work Team, and Injured Members in accordance with Wawanesa's Proactive Case Management approach. Occasionally participate at private mediation, court proceedings and other dispute resolution as required. Within a limited role contribute to employee development through training, technical guidance, and coaching. Perform other duties as assigned.
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. Willingness 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.Wawanesa is proud to be one of , a in Canada and a in Canada recognizing an exceptional place to work
Diversity Equity, Inclusion & Belonging
Wawanesa is an equal opportunity employer and is committed to fostering a diverse workforce that is equitable and inclusive for all. Wawanesa provides equal employment opportunity to all employees and applicants without regard to an individual’s protected status: race/ethnicity, colour, religion, creed, sex or gender, sexual orientation, gender identity or expression, family or marital status, pregnancy/childbirth or related conditions, national origin, disability, military or veteran status, or any other protected status. Disability or medical-related accommodations are available upon request throughout all aspects of the recruitment and selection process.
-
Claims Adjuster
2 months ago
Dartmouth, Canada Curo Claims Services Inc. Full time{"title": "Property Claims Adjuster", "description": "Job SummaryWe are seeking a highly skilled Property Claims Adjuster to join our team at Curo Claims Services Inc. As a Property Claims Adjuster, you will be responsible for handling property insurance claims from initial contact to resolution. Your primary goal will be to provide exceptional customer...
-
Claims Adjuster
2 months ago
Dartmouth, Canada Curo Claims Services Inc. Full time{"title": "Property Claims Adjuster", "description": "Job SummaryWe are seeking a highly skilled Property Claims Adjuster to join our team at Curo Claims Services Inc. As a Property Claims Adjuster, you will be responsible for handling property insurance claims from initial contact to resolution. Your primary goal will be to provide exceptional customer...
-
Claims Adjuster
2 months ago
Dartmouth, Canada Curo Claims Services Inc. Full timeAbout the RoleCuro Claims Services Inc. is seeking a highly skilled Claims Adjuster to join our team. As a Claims Adjuster, you will play a critical role in delivering exceptional customer service and ensuring that claims are handled efficiently and effectively.Key ResponsibilitiesCustomer Service: Respond to general inquiries, initiate and maintain contact...
-
Claims Adjuster
2 months ago
Dartmouth, Canada Curo Claims Services Inc. Full timeAbout the RoleCuro Claims Services Inc. is seeking a highly skilled Claims Adjuster to join our team. As a Claims Adjuster, you will play a critical role in delivering exceptional customer service and ensuring that claims are handled efficiently and effectively.Key ResponsibilitiesCustomer Service: Respond to general inquiries, initiate and maintain contact...
-
Claims Adjuster
2 months ago
Dartmouth, Canada Curo Claims Services Inc. Full timeAbout the RoleCuro Claims Services Inc. is seeking a highly skilled Claims Adjuster to join our team. As a Claims Adjuster, you will play a critical role in delivering exceptional customer service and ensuring that claims are handled efficiently and effectively.Key ResponsibilitiesCustomer Service: Respond to general inquiries, initiate and maintain contact...
-
Claims Adjuster
2 months ago
Dartmouth, Canada Curo Claims Services Inc. Full timeAbout the RoleCuro Claims Services Inc. is seeking a highly skilled Claims Adjuster to join our team. As a Claims Adjuster, you will play a critical role in delivering exceptional customer service and ensuring that claims are handled efficiently and effectively.Key ResponsibilitiesCustomer Service: Respond to general inquiries, initiate and maintain contact...
-
Claims Adjuster
1 month ago
Dartmouth, Canada Xpera Full timeJob Title: Claims AdjusterWe are seeking a skilled Claims Adjuster to join our team at Xpera. As a Claims Adjuster, you will be responsible for investigating and resolving insurance claims in a fair and timely manner.Key Responsibilities:Investigate and assess insurance claims to determine the extent of damage or lossCommunicate with policyholders, agents,...
-
Claims Adjuster
1 month ago
Dartmouth, Canada Xpera Full timeJob Title: Claims AdjusterWe are seeking a skilled Claims Adjuster to join our team at Xpera. As a Claims Adjuster, you will be responsible for investigating and resolving insurance claims in a fair and timely manner.Key Responsibilities:Investigate and assess insurance claims to determine the extent of damage or lossCommunicate with policyholders, agents,...
-
Insurance Claims Adjuster
2 weeks ago
Dartmouth, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster Level 1 & 2, Accident Benefits contributes to Wawanesa's goal of delivering an exceptional and consistent member experience through the fair and equitable adjustment of moderate to high complexity accident benefit claims.Key ResponsibilitiesProvide exceptional member experience through empathetic communication and support...
-
Claims Adjuster, Level 1
1 month ago
Dartmouth, Canada Wawanesa Insurance Full timeJob Overview The Claims Adjuster, Auto Physical Damage contributes to Wawanesa's goals of delivering an exceptional and consistent member experience through the fair and equitable adjustment of low complexity auto physical damage claims. This role is responsible for applying and explaining policy coverages and documenting claim files through the life...
-
Claims Adjuster, Level 1
1 month ago
Dartmouth, Canada Wawanesa Insurance Full time**Date**:Oct 2, 2024 **Location**: Dartmouth, NS (Hybrid), CA Moncton, NB (Hybrid), CA **Company**:Wawanesa Insurance **Job ID**: 8627 **Working Business Language**: English. **Salary**: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and...
-
Claims Adjuster Level 1
2 weeks ago
Dartmouth, Canada Wawanesa Insurance Full time**Date**:Oct 21, 2024 **Location**: Dartmouth, NS (Hybrid), CA Moncton, NB (Hybrid), CA **Company**:Wawanesa Insurance **Job ID**: 8670 **Working Business Language**: Bilingual in French and English. **Salary**: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition...
-
Claims Adjuster
1 month ago
Dartmouth, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster 3, Casualty plays a pivotal role in Wawanesa's mission to deliver exceptional and consistent claims experiences through proactive and fair investigation, evaluation, negotiation, and settlement of high-complexity and large-loss casualty claims. This role is responsible for applying and explaining policy coverages and...
-
Claims Adjuster
1 month ago
Dartmouth, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster 3, Casualty plays a pivotal role in Wawanesa's mission to deliver exceptional and consistent claims experiences through proactive and fair investigation, evaluation, negotiation, and settlement of high-complexity and large-loss casualty claims. This role is responsible for applying and explaining policy coverages and...
-
Claims Adjuster
2 months ago
Dartmouth, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster 3, Casualty contributes to Wawanesa's goal of delivering an exceptional and consistent claims experience through proactive and fair investigation, evaluation, negotiation, and settlement of high complexity and large loss casualty claims. This role is responsible for applying and explaining policy coverages and documenting...
-
Claims Adjuster
2 months ago
Dartmouth, Canada Wawanesa Insurance Full timeJob OverviewThe Claims Adjuster 3, Casualty contributes to Wawanesa's goal of delivering an exceptional and consistent claims experience through proactive and fair investigation, evaluation, negotiation, and settlement of high complexity and large loss casualty claims. This role is responsible for applying and explaining policy coverages and documenting...
-
Property Claims Adjuster
2 weeks ago
Dartmouth, Canada 570 The Dominion of Canada General Full timeAbout the RoleWe are seeking a skilled Property Claims Adjuster to join our team at 570 The Dominion of Canada General. As a Property Claims Adjuster, you will be responsible for handling first-party property claims of moderate complexity, including investigating and evaluating losses, determining coverage and indemnification, and negotiating claim...
-
Property Claims Adjuster
2 months ago
Dartmouth, Canada The Travelers Companies, Inc. Full timeAbout The Travelers Companies, Inc.We are a leading provider of property and casualty insurance solutions, dedicated to delivering exceptional service and support to our customers. Our team is passionate about helping individuals and businesses navigate life's uncertainties, and we're committed to making a positive impact in the communities we serve.Job...
-
Property Claims Adjuster
2 months ago
Dartmouth, Canada The Travelers Companies, Inc. Full timeAbout The Travelers Companies, Inc.We are a leading provider of property and casualty insurance solutions, dedicated to delivering exceptional service and support to our customers. Our team is passionate about helping individuals and businesses navigate life's uncertainties, and we're committed to making a positive impact in the communities we serve.Job...
-
Field Adjuster
1 month ago
Dartmouth, Canada Aviva Full timeIndividually we are people, but together we are Aviva. Individually these are just words, but together they are our Values - Care, Commitment, Community, and Confidence. We are currently hiring for Property Field Adjusters to join our Field Claims team. This role will be home based and we are looking for field adjusters in the Greater Halifax Area in Nova...
