The successful candidate will be responsible for investigating, negotiating and settling moderately complex automobile bodily injury claims in accordance with the prescribed authority and identifies where the personal injury cap would apply.
The majority of files are settled via the telephone. In this role you will direct and monitor the investigation, negotiation and / or settlement of claims through the use of independent adjusters when necessary.
Key Accountabilities
Note : This section is not intended to be an exhaustive list of duties and responsibilities other duties and responsibilities may be assigned.
Claims Adjusting
Investigates bodily injury claims.
Evaluates claims and sets up adequate reserves.
Analyzes information gathered, determines coverage and assesses liability and damages.
Negotiates with claimants and lawyers and settles within authority limits.
Maintains effective communication with experts, management and internal and external counsel.
Attends mediations, settlement conferences and pre-trials.
Participates in the dispute resolution process, arbitrations and legal proceedings.
Directs and monitors the investigation, negotiation and / or settlement of claims through the use of independent adjusters (when necessary due to the nature of the claim).
Acts as a resource and provides support, guidance, advice and direction to less senior staff.
Customer Experience
Supports corporate culture and vision which fosters positive relationship with our insureds and third parties.
Provides timely and professional customer service.
Handles claims issues and resolutions in a proactive manner.
Engages in dialogue supporting team efficiencies and process improvements
Stakeholder Relationship
Builds and maintains positive working relationships with insureds, brokers, service providers, legal counsel, company and industry participants.
Provides insight for auto adjusters to aid in investigation and coordination of experts.
Leadership
Actively contributes to and supports a culture of a high performing workforce.
Participates in divisional succession plans, ensuring ongoing professional and career development and supports development of others.
Supports a culture of leadership and accountability to effectively deliver on strategic and corporate strategies.
Is actively committed to leadership development across the company, supporting team and workforce readiness through mentoring, training and developmental opportunities.
Corporate Management
Enables the success of programs and policies that are in alignment with corporate, strategic and divisional strategies.
Manages risk in area of authority.
Ensures that the Health, Safety and Emergency Management Policy is applied in area of responsibility.
Education and Experience
A two-year diploma from an accredited post-secondary education institution in a relevant field of study such as Business.
3 - 5 years’ experience adjudicating claims of varying complexity including work with commercial losses.
Knowledge, Skills and Abilities
Knowledge of the principles and practice of insurance, claims policies and procedures, and automobile insurance products.
Knowledge of Minor Injury Regulation, Fatal Accidents Act.
Knowledge of medical terminology.
Knowledge of the legal process as it relates to bodily injury claims.
Ability to quantify loss based on medical documentation and case law research
Posting Close Date : August 18, 2024
August 18, 2024
As you prepare to submit your application, and cover letter if applicable, please highlight the achievements that demonstrate why you're a great candidate for this role.
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