Expert en sinistre / Claims Adjuster

Sedgwick; Ontario; Hybrid; CAD 50,000 - 70,000; Full time

Job summary

Join a leading company as a claims adjuster where you will be responsible for investigating and managing insurance claims. This role requires excellent interpersonal and analytical skills, as well as a commitment to continuous education. You will work in a supportive environment that values diversity and inclusion, with opportunities for professional growth.

Qualifications

• Working toward CIP designation.
• Possess or be able to obtain a provisional license.

Responsibilities

• Manage and adjust assigned claims, including investigations and negotiations.
• Maintain accurate records and manage billing for assigned files.
• Engage in continuous education to stay updated with industry changes.

Skills

Interpersonal Skills

Communication

Analytical Skills

Organizational Skills

Teamwork

Education

Post-secondary education

CIP designation

Tools

Microsoft Office

Excel

Job description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Qualifications

• Excellent interpersonal skills

Primary Purpose

The claims adjuster is charged with the investigation, evaluation, and quantification of an insurance claim. The adjuster will determine and provide recommendations with respect to coverage, liability, and quantum, within the terms of the policy.

Essential Functions and Responsibilities

• Manage and adjust assigned claims, including conducting investigations, determining coverage and validity, interviewing and communicating with insureds, claimants, and witnesses, inspecting claims sites, assigning external vendors, recommending reserves, preparing reports, and negotiating settlements. Participate in mediations and arbitrations as required. Work with defense counsel as assigned.
• Maintain accurate records according to company standards and procedures, using company computer systems and external client systems.
• Manage billing for assigned files within specified timelines.
• Assist with collection of accounts receivables for claims.
• Support local marketing efforts, attend professional and social events, and develop new business opportunities.
• Maintain excellent relationships with clients, participate in file reviews and audits.
• Apply strong mathematical and reasoning skills to analyze data and reach logical conclusions.
• Work effectively in various weather, environmental, and driving conditions.
• Engage in continuous education to stay updated with industry, legislative, and licensing changes.
• Ensure reserves, coding, and reporting are current on assigned claims.

Additional Functions and Responsibilities

• Perform other duties as assigned.
• Support the organization’s quality programs.

Qualifications

Education & Licensing

• Post-secondary education
• Working toward CIP designation
• Possess or be able to obtain a provisional license
• Valid driver’s license
• Proven adjusting and negotiating skills
• Excellent interpersonal, communication, and computer skills

Experience

• Proven adjusting and negotiating skills
• Excellent interpersonal and communication skills, and computer proficiency

Skills & Knowledge

• Strong knowledge of insurance, claims, or business management
• Excellent oral and written communication
• Proficiency in Microsoft Office and Excel
• Ability to navigate client systems
• Ability to work remotely
• Analytical and interpretive skills
• Strong organizational skills
• Teamwork ability
• Meet or exceed performance competencies

The statements in this document describe the general nature and level of work performed by a colleague in this role. They are not exhaustive of all duties or local variations. Management may modify duties as needed.

We are committed to inclusive, barrier-free recruitment and selection processes. Please inform Colleague Resources if you require accommodations.

Sedgwick is an Equal Opportunity Employer.