Claims Adjuster QC

CAA Club Group; Quebec; On-site; CAD 52,000 - 75,000; Full time

Benefits offered by this job

Holistic wellness program

Education reimbursement

Rewards and recognition programs

Competitive benefits with defined-cont

Travel incentives and discounts

Job summary

Echelon Insurance, a member of the CAA Club Group family, is seeking a Claims Adjuster to investigate, evaluate and settle personal and commercial lines claims. You will manage inquiries across phone, email, and letters, assess coverage, damages and liability, and coordinate with vendors to support settlements.

The role requires a college certificate with AMF licenses, at least 2 years in claims adjusting, and solid English-French communication.

Qualifications

• College certificate required.
• Personal lines and commercial lines AMF permit required.
• Minimum of 2 years of experience in claims adjusting.
• Bilingual in English and French (intermediate English) mandatory.

Responsibilities

• Attend to inquiries by telephone, fax, letter and email for personal and commercial lines claims.
• Investigate and evaluate claims to determine coverage, damages and settlement.
• Review policy conditions, exclusions and endorsements related to losses.
• Appoint vendors (appraisers, adjusters, contractors, lawyers) per guidelines.
• Process payments or denials within authority levels and guidelines.
• Flag files above authority to supervisor with reserves and resolutions.
• Direct and guide external vendors for effective investigation and recovery.
• Maintain timely claim reserves and document file particulars.
• Inform Underwriting of information affecting risk assessment.
• Meet objectives for service and performance.

Skills

Customer service

Negotiation

Analytical thinking

Communication

Time management

Education

College certificate

AMF license (Personal & Commercial Lines)

Tools

Claims system

Job description

Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group ofCompanies, andis an equal opportunity employer who offers a professional environment that champions collaboration, trust, and growth to drive success. We cultivate a great working dynamic to help us deliver what is best for our associates, Brokers, and Customers.

Who we are

Are you ready to join an award-winning, purpose-driven culture? Welcome to the CAA Club Group of Companies (CCG),wherepurpose leads to passion!

At CCG, we are committed to delivering an exceptional Associate experience. We offer:

• 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, and
• Competitive benefits that include a defined contribution plan, personal spending account, and so much more.

Join our growing team where everyone belongs!

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

• 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
• 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.

Please note that we may use AI tools to help us through the recruitment process.

Our Commitment

We are an equal opportunity employer and are committed to providing employment accommodationin accordance withall applicable Provincial Human Rights and Accessibility Legislation.CCG will provide accommodations to job applicants with disabilities throughout the recruitment process.If you requirean accommodation, pleasenotify usand we will work with you to meet your needs.