Claims Adjuster 2 - Casualty

Wawanesa Insurance; Edmonton; On-site; CAD 60,000 - 85,000; Full time

Job summary

A leading insurance company is seeking a Claims Adjuster 2 to manage and resolve moderate to high complexity claims. The successful candidate will be responsible for thorough investigations, adjusting claims, and maintaining effective communication with all parties involved, ensuring a fair and efficient claims process.

Qualifications

• At least 2 years of insurance adjusting experience or equivalent.
• Willingness to pursue Chartered Insurance Professional (CIP) designation.

Responsibilities

• Adjust casualty claims of moderate to high complexity.
• Conduct comprehensive investigations to determine coverages and liability.
• Negotiate with claimants, lawyers, and other insurers.

Skills

Customer service skills

Investigative skills

Analytical skills

Negotiation skills

Decision-making skills

Communication skills

Organizational skills

Attention to detail

Time management

Collaboration abilities

Education

Post-secondary degree

Job description

The Claims Adjuster 2, Casualty contributes to Wawanesa's goal of delivering an exceptional and consistent claims experience through proactive and fair investigation, evaluation, negotiation, and settlement of moderate to high casualty claims. This role is responsible for applying and explaining policy coverages and documenting claim files throughout the life of a claim. The role is accountable for providing timely service and prompt management of claims from initial report to conclusion.

Job Responsibilities

• Provide the best defense for members through proactive, fair, and thorough liability, coverage, and quantum investigation.
• Ensure timely and professional communication via voice, digital, and written correspondence, effectively addressing all inquiries.
• Adjust casualty claims of moderate to high complexity.
• Review and interpret policy wordings, determine coverage, and communicate decisions to members.
• Establish accurate loss and expense reserves throughout the claim's lifecycle based on evaluations from various sources such as independent adjusters, medical, legal, financial, and vocational experts.
• Conduct comprehensive investigations to determine coverages and liability, adhering to company guidelines and engaging appropriate resources when necessary.
• Coordinate services with vendors and service providers including lawyers, engineers, accountants, and health practitioners.
• Negotiate with claimants, lawyers, and other insurers to resolve claims favorably for members. Manage claims in litigation, mediation, or arbitration, providing instructions to counsel as needed.
• Maintain accurate diary systems and document activities in accordance with procedures.
• Maintain knowledge of policy coverages and comply with regional regulatory and licensing requirements, staying current with legislative changes and industry trends.
• Participate in private mediations, court proceedings, and dispute resolutions as required.
• Contribute to employee development through training, guidance, and coaching.
• Perform other duties as assigned.

Qualifications

• Exceptional customer service skills demonstrating empathy and concern for member satisfaction.
• At least 2 years of insurance adjusting experience or equivalent.
• Post-secondary degree preferred.
• Willingness to pursue Chartered Insurance Professional (CIP) designation and meet licensing requirements.
• Knowledge of medical and legal terminology.
• Excellent communication skills, both written and spoken.
• Strong investigative, analytical, and attention to detail skills.
• Effective time management and organizational skills in a fast-paced environment.
• Negotiation, decision-making, and critical thinking skills.
• Strong teamwork and collaboration abilities.

Wawanesa is proud to be recognized as an exceptional place to work in Canada!

Diversity, Equity, Inclusion & Belonging

At Wawanesa, we are committed to DEIB and believe our strength lies in our diverse workforce. We welcome applications from all qualified candidates, including racialized persons, women, Indigenous Peoples, persons with disabilities, members of the 2SLGBTQIA+ community, gender-diverse, and neurodiverse individuals. We strive to make our recruitment process accessible. If accommodations are needed, please contact us in confidence.

All applicants are subject to Wawanesa's employment policies.