CLAIMS ADJUSTER – SPECIAL INVESTIGATION UNIT (SIU) - IW-

DGA Careers Inc.; Quebec; Remote; CAD 100,000 - 200,000; Full time

Benefits offered by this job

Group benefits

Employer-paid premiums

RRSP with employer contribution

EFAP

Home office allowance

Travel allowance

Vacation 4 weeks

Birthday day off

Team events

Job summary

DGA Careers Inc. is seeking a Claims Adjuster for its Special Investigation Unit (SIU) in Quebec. This 100% remote role offers a permanent full-time position with uncapped earning potential through commissions, aiming at $100,000+ annually depending on experience.

The ideal candidate has 3+ years of claims adjusting, proven fraud investigation expertise, and English fluency. A 5A license and a driver’s license are required, with travel as needed to complete investigations.

Qualifications

• Minimum of 3 years of claims adjusting experience.
• Proven experience handling fraud investigations.
• Fluency in English.

Responsibilities

• Manage claims files with indicators of potential fraud.
• Conduct thorough investigations including interviews with insureds and witnesses.
• Travel as required to complete investigations and gather evidence.
• Analyze claims files, documentation, and evidence collected throughout the investigation process.
• Determine the circumstances and causes of losses.
• Assess damages and negotiate settlements when appropriate.
• Evaluate indemnity requests based on policy coverages, exclusions, and conditions.
• Clearly communicate claim denials or coverage decisions to policyholders in a professional manner.
• Prepare thorough and detailed investigative reports.

Skills

Investigative skills

Analytical skills

Communication skills

Negotiation skills

English fluency

Travel readiness

Driver's license

Education

Insurance License (5A)

Job description

CLAIMS ADJUSTER - SPECIAL INVESTIGATION UNIT (SIU) - IW-

Date of modification:

Job number: IW-

Detail

Job title: CLAIMS ADJUSTER - SPECIAL INVESTIGATION UNIT (SIU)

Description

Province of Quebec

100% Remote

Our client, an independent Quebec-based claims adjusting firm with over 50 years of experience, is looking for a Claims Adjuster - Special Investigation Unit (SIU) to support its continued growth and strengthen its team of fraud investigation specialists.

This is an exciting opportunity to work on complex claims, conduct in-depth investigations, and play a key role in identifying, analyzing, and resolving potentially fraudulent insurance claims.

WHAT WE OFFER

Permanent full-time position

Commission-based compensation based on billings

Unlimited earning potential

Monthly commission payments

Earning potential of $100,000+ annually, depending on experience

Comprehensive group benefits from Day 1

Employer-paid 50% of benefit premiums

Group RRSP with employer contribution

Employee and Family Assistance Program (EFAP)

Monthly home office allowance of $250

Monthly travel allowance

Minimum of 4 weeks of vacation or more based on experience

Paid day off on your birthday

Family-oriented company culture

Team events, summer and holiday celebrations, and various employee discounts

KEY RESPONSIBILITIES

Manage claims files involving indicators of potential fraud

Conduct detailed investigations, including interviews with insureds and witnesses

Travel as required to complete investigations and gather supporting evidence

Analyze claims files, documentation, and evidence collected throughout the investigation process

Determine the circumstances and causes of losses

Assess damages and negotiate settlements when appropriate

Evaluate indemnity requests based on policy coverages, exclusions, and conditions

Clearly communicate claim denials or coverage decisions to policyholders in a professional manner

Prepare thorough and detailed investigative reports

IDEAL CANDIDATE

Valid 5A Claims Adjuster License (Personal and Commercial Lines)

Minimum of 3 years of claims adjusting experience

Proven experience handling fraud investigations

Strong investigative and analytical skills

Ability to make sound decisions in complex situations

Excellent communication and negotiation skills

Fluency in English

Valid driver's license

Ability to travel as required

Self-motivated, professional, and detail-oriented

Information

• Job Type: Full-Time
• Education: Insurance License
• Expertise: Claims
• Minimum experience required: 3 to 4 Years
• Salary (annually): from $100,000 to $200,000
• Contact email: [e-mail]