Claims Adjuster

About This Role

This role involves validating and assessing insurance claims for the company, including conducting inspections and evaluating policy coverage to determine appropriate settlements or denials. The position suits a detail-oriented professional with a strong background in claims and insurance processes.

Responsibilities

• Validate and assess claims submitted to the company
• Conduct inspections of property and motor car claims, including potential fraud cases
• Handle claims in nearby provinces as needed
• Verify policy coverage, provisions, and details (e.g., premium status, policy validity)
• Evaluate and adjust claims to ensure fair and reasonable recommendations
• Determine company liability and recommend appropriate claim settlements
• Recommend denial of claims when justified
• Perform other related tasks as required by the immediate superior

Requirements

• Strong background in claims evaluation and insurance processes
• Knowledgeable in insurance policies and coverage
• Proficient in Microsoft Office (Word, Excel, PowerPoint)
• Excellent communication and negotiation skills
• High level of attention to detail
• Results-oriented and able to meet deadlines
• Willing to render overtime when necessary