Claims Adjuster (ECH-QC)

CAA Club Group; Westmount; On-site; CAD 55,000 - 75,000; Full time

Benefits offered by this job

Holistic wellness program

Education reimbursement program

Travel incentives

Competitive benefits package

Job summary

CAA Club Group in Westmount seeks a Claims Adjuster to investigate and settle claims for personal and commercial lines. This position requires proficiency in both English and French, at least 2 years of claims adjusting experience, and a college certificate. Responsibilities include managing inquiries, processing payments, and coordinating with external vendors. The role offers several benefits, including a holistic wellness program and educational reimbursement, emphasizing work-life harmony and career development.

Qualifications

• Minimum of 2 years of experience in claims adjusting.
• Intermediate level of English and French required.

Responsibilities

• Investigate and settle personal and commercial lines claims.
• Attend to inquiries by phone, email, and letter.
• Process payments and maintain timely claim reserves.
• Document claim files accurately and completely.
• Conduct reviews of policy conditions and provisions.

Skills

Negotiation skills

Analytical skills

Investigative skills

Time management

Problem-solving

Strong written communication

Strong verbal communication

Ability to work independently

Team collaboration

Comfortable in computerized environment

Education

College certificate

Personal lines and commercial lines permit from AMF

Job description

Position Details

Reporting to the Claims Supervisor, the Claims Adjuster investigates, evaluates and settles both Personal lines and Commercial lines claims.

Key Accountabilities And Responsibilities

• Attend to inquiries by telephone, fax, letter and email pertaining to all facets of personal lines 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.
• Additional duties and special projects as assigned by Supervisor/Manager.
• Some travel may be involved.

Who You Are

• An intermediate level of English is required in addition to French, as this position involves communicating, both verbally and in writing, with our clients, partners, and other teams at Echelon Insurance Canada across the country on a daily or weekly basis.
• 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
• Be very comfortable in a computerized environment

Benefits

• Work-life harmony with access to an award-winning holistic wellness program
• Continuous learning through our robust corporate curriculum and education reimbursement program
• Incredible rewards, travel incentives, and product and service discounts
• Pay-for-performance and best-in-class recognition programs
• Competitive benefits that include a defined contribution plan, personal spending account, and so much more

Our Commitment

We are an equal opportunity employer, and we invite women, members of visible and ethnic minorities, Aboriginal people and people with disabilities to apply. If you require an accommodation, please notify us and we will work with you to meet your needs.