Claims Adjuster

About This Role

This role involves investigating, evaluating, and settling both personal and commercial lines claims, reporting to the Claims Supervisor. It suits a candidate with experience in claims adjusting who can work independently and manage changing priorities.

Responsibilities

• Attend to inquiries by telephone, fax, letter, and email pertaining to all facets of personal and commercial lines claims
• Proactively investigate and evaluate potential claims under a variety of policies to determine coverage, damages, liability, and settlement through methods of direct handling and claims examining
• Review and analyze policy conditions, provisions, exclusions, and endorsements pertinent to a variety of losses
• Appoint claims vendors (appraisers, adjusters, contractors, experts, lawyers) as directed and in accordance with company guidelines
• Process payments (or denials) in accordance with established authority levels, policy conditions, and guidelines of the Company
• Refer all files above established level of authority to direct supervisor with recommendations for reserves, payments, and resolution with follow up through to file closure
• Direct and provide feedback to external claims vendors for effective investigation, control, and facilitation of claims
• Identify, direct, and manage efforts to maximize subrogation and recovery from other parties
• Maintain timely and accurate claim reserves on files
• Maintain/record timely loss and expense reserves and payments in the Claims System on a timely basis and participate in the recording and reporting of claims accruals
• Document claim files with appropriate particulars of claim and claim handling
• Advise the Underwriting department of any information gathered which may affect risk assessment
• Meet or exceed established objectives for service and performance
• Perform additional duties and special projects as assigned by Supervisor/Manager
• Some travel may be involved

Requirements

• College certificate
• Personal lines and commercial lines permit from AMF required
• Minimum of 2 years of experience in claims adjusting
• Able to work independently and as part of a team
• Able to manage changing priorities
• Excellent negotiation, analytical, and investigative skills
• Strong written and verbal communication skills
• Strong time management, problem-solving, and organizational skills
• Very comfortable in a computerized environment
• Intermediate level of English in addition to French, as this position involves communicating, both verbally and in writing, with clients, partners, and other teams at Echelon Insurance Canada across the country on a daily or weekly basis