Casualty Claims Adjuster II

Jobtailor; Calgary; On-site; CAD 65,000 - 85,000; Full time

Job summary

Jobtailor in Calgary, Canada, is seeking a claims professional to investigate automobile bodily injury claims and support fair resolutions. You will review medical and legal documentation, negotiate settlements, and manage claims through litigation when needed.

The role requires two+ years in casualty claims, CIP designation preferred, and a health/insurance/business background is helpful. Excellent communication, analytical, and conflict-resolution skills are essential for success in a

Qualifications

• Minimum of two years of experience handling casualty claims, preferably involving automobile bodily injury.
• CIP designation preferred or demonstrated commitment to pursuing one.
• Post-secondary education in a health-related discipline, insurance, business, or related field is an asset.
• Experience with medical terminology or in healthcare, rehabilitation, disability, or medical setting is an asset.
• Strong written and verbal communication skills.
• Ability to make well-reasoned, evidence-based decisions using medical, policy, and claim-related information.
• Strong negotiation and conflict-resolution skills.
• Ability to de-escalate difficult conversations and remain calm in stressful situations.
• Strong system navigation skills and ability to use technology efficiently in a high-volume environment.
• Growth-oriented attitude and openness to coaching, feedback, continued learning, and changing business processes.
• Candidates must be eligible to work in Canada from the anticipated start date and throughout employment.

Responsibilities

• Investigate automobile bodily injury claims to support prompt, fair resolution.
• Make independent decisions, assess risk, think critically, and prioritize effectively.
• Review and analyze medical records, police reports, expert reports, and other documentation.
• Represent the company in negotiations and settlements with third parties, claimants, and legal counsel.
• Manage claims through litigation where required.
• Maintain complete, accurate, and timely claim file documentation.
• Set, review, and manage loss and expense reserves.
• Evaluate settlement criteria and authorize payments according to policy, legislation, authority levels, and best practices.
• Communicate professionally and empathetically with customers, brokers, service providers, lawyers, healthcare professionals, and other stakeholders.
• Collaborate with Claims Assignment, Collections, Underwriting, Appraisal, Legal, and other internal departments.
• Manage a high-volume workload while maintaining quality, accuracy, service standards, and urgency.
• Transition to the Care First Team with a health- and recovery-focused approach.
• Assess eligibility and entitlement for accident benefits using policy provisions, legislation, medical information, and evidence.
• Review medical information and medical terminology related to injuries, treatment needs, functional limitations, and recovery goals.
• Support injured customers through complex situations and help them navigate recovery.
• Collaborate with healthcare providers, rehabilitation professionals, employers, legal representatives, and other recovery stakeholders.
• Identify opportunities for early intervention and appropriate support.
• Develop technical knowledge through training, coaching, feedback, and professional development.

Skills

Casualty claims handling

Analytical thinking

Negotiation

Communication skills

Empathy

Stress management

Education

CIP designation

Post-secondary health/insurance/business education

Tools

Claims Assignment Systems

Technology proficiency

Job description

Job Responsibilities

• Investigate automobile bodily injury claims to support prompt, fair resolution
• Make independent decisions, assess risk, think critically, and prioritize effectively
• Review and analyze medical records, police reports, expert reports, and other documentation
• Represent the company in negotiations and settlements with third parties, claimants, and legal counsel
• Manage claims through litigation where required
• Maintain complete, accurate, and timely claim file documentation
• Set, review, and manage loss and expense reserves
• Evaluate settlement criteria and authorize payments according to policy, legislation, authority levels, and best practices
• Communicate professionally and empathetically with customers, brokers, service providers, lawyers, healthcare professionals, and other stakeholders
• Collaborate with Claims Assignment, Collections, Underwriting, Appraisal, Legal, and other internal departments
• Manage a high-volume workload while maintaining quality, accuracy, service standards, and urgency
• Transition to the Care First Team with a health- and recovery-focused approach
• Assess eligibility and entitlement for accident benefits using policy provisions, legislation, medical information, and evidence
• Review medical information and medical terminology related to injuries, treatment needs, functional limitations, and recovery goals
• Support injured customers through complex situations and help them navigate recovery
• Collaborate with healthcare providers, rehabilitation professionals, employers, legal representatives, and other recovery stakeholders
• Identify opportunities for early intervention and appropriate support
• Develop technical knowledge through training, coaching, feedback, and professional development

Requirements

• Minimum of two years of experience handling casualty claims, preferably involving automobile bodily injury
• CIP designation preferred, or demonstrated commitment to pursuing one
• Post-secondary education in a health-related discipline, insurance, business, or related field is an asset
• Experience with medical terminology or in a healthcare, rehabilitation, disability, or medical setting is an asset
• Strong written and verbal communication skills
• Strong investigative, analytical, and critical-thinking skills
• Ability to make well-reasoned, evidence-based decisions using medical, policy, and claim-related information
• Strong negotiation and conflict-resolution skills
• Ability to de-escalate difficult conversations and remain calm and professional in stressful situations
• Strong system navigation skills and ability to use technology efficiently in a high-volume environment
• Growth-oriented attitude and openness to coaching, feedback, continued learning, and changing business processes
• Candidates must be eligible to work in Canada from the anticipated start date and throughout employment

Core Competencies

Demonstrates expertise in investigating automobile bodily injury claims, managing high-volume workloads, and effectively communicating with various stakeholders. Proficient in analyzing medical records and applying policy provisions to support fair claim resolutions.

Highest-signal resume keywords

• Automobile Bodily Injury Claims Handling
• CIP Designation
• Medical Terminology Proficiency
• Negotiation and Conflict Resolution
• Analytical and Critical Thinking Skills

Hard Skills

• Claims Management
• Risk Assessment
• Evidence-Based Decision Making
• Settlement Evaluation
• Documentation Management

Soft Skills

• Strong Communication Skills
• Empathy
• Problem-Solving
• Stress Management
• Growth-Oriented Attitude

Certifications & Qualifications

• CIP Designation

Industry Keywords

• Casualty Claims
• Healthcare
• Rehabilitation
• Disability
• Insurance

Tools & Technologies

• Claims Assignment Systems
• Technology Proficiency