Claims adjuster Jobs in Scarborough, ON

JOB DESCRIPTION

Essential Duties & Responsibilities

• Performs a combination of duties in accordance with departmental guidelines.
• Interprets policy terms and conditions and determines if coverage applies to claims submitted, escalating issues as needed.
• Sets activities, reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing expenses.
• Coordinates and performs investigations and evaluates claims and suits through contact with insureds, claimants, business partners, witnesses and experts. Seeks early resolution opportunities. Identifies files that have potential fraud and refers to SIU.
• Assignment of Independent adjusters / surveyors and attorneys in accordance with established guidelines.
• Utilizes negotiation skills to develop complex settlement packages.
• Identifies claims with third party recovery potential and coordinates with subrogation unit.
• Partners with attorneys, account representatives, agents, underwriters, and insureds to develop a focused strategy for timely and costeffective resolution of more complex claims.
• Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.
• Keeps current on provincial / federal regulations and issues as well as industry activity and trends.
• Makes recommendations on claim policy and processes to further enhance the claim department.
• Reacts to change productively and handling other essential tasks and projects as assigned.
• May be responsible for special projects and presentations.
• May provide assistance to other claims staff.

In all responsibilities and interactions, all employees are expected to adopt and align with CNA’s Winning Behaviours – to be externally focused, accountable, collaborative, innovative, inclusive and continuously learning.

Skills, Knowledge & Abilities

achieve superior total claim outcome.

Education & Experience

At CNA, we are committed to providing equal employment opportunities to all employees and applicants. It is our policy to provide equal employment opportunities to employees and applicants based on job-related qualifications and ability to perform a job. If you require an accommodation during the hiring process or upon hire, please inform Human Resources. If a selected applicant requests accommodation during the recruitment process, CNA will consult with the applicant in order to provide suitable accommodation that takes into account the applicant’s accessibility needs.