Expert en sinistre / Claims Adjuster

Sedgwick; Canada; Remote; CAD 30,000 - 60,000; Full time

Job summary

Une entreprise innovante recherche un ajusteur de réclamations passionné, prêt à faire une différence dans la vie des gens. Dans ce rôle, vous serez chargé d'examiner et d'évaluer les réclamations d'assurance, tout en maintenant des relations solides avec les clients. Vous aurez l'opportunité de travailler dans un environnement inclusif qui valorise la diversité et le bien-être. Si vous êtes motivé par le défi et désireux de contribuer à une culture de soin, cette position est faite pour vous. Rejoignez une équipe qui se consacre à fournir un service exceptionnel tout en développant votre carrière.

Qualifications

• Doit posséder des compétences en ajustement et en négociation.
• Éducation postsecondaire et capacité à obtenir un permis.

Responsibilities

• Gère les réclamations assignées en respectant les normes de l'entreprise.
• Maintient des dossiers précis et gère la facturation des fichiers assignés.

Skills

Compétences interpersonnelles

Compétences en négociation

Compétences analytiques

Compétences organisationnelles

Compétences en communication orale et écrite

Connaissance des systèmes informatiques

Education

Éducation postsecondaire

CIP en cours

Permis de conduire valide

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.

Great Place to Work

Top 100 Most Loved Workplace

QUALIFICATIONS

• Excellentes aptitudes interpersonnelles

PRIMARY PURPOSE

A 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

• Manages / adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sites as required, assigning external vendors as required, recommendations for reserves, preparing reports and negotiating settlements within granted authority. Participate in mediation and arbitrations as required. Work with defense counsel as assigned.
• Maintains accurate records based on company standards and procedures, using company custom computer systems. Will require the ability to work in external client systems.
• Accurately and efficiently manages the billing for assigned files, within specified timelines.
• Assists with collection of accounts receivables for assigned claims.
• Assists with local marketing of the branch; attends professional and social events and develops new business opportunities.
• Maintains an excellent working relationship with existing clients to further develop business and will participate as required in client file reviews and audits.
• Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion.
• The ability to cope with extreme weather, environmental and driving conditions at any time.
• Committed to continuous education to keep up-to-date with all industry and legislative issues and changes and licensing requirements.
• Responsible to ensure reserves, coding and reporting is up to date on claims files assigned.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

• Post-secondary education.
• Has or is working toward CIP designation.
• Must be licensed or have the ability to obtain a provisional license.
• Must possess a valid driver's license.
• Proven adjusting and negotiating skills.
• Excellent interpersonal and communication skills, and computer proficiency.

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.
• PC literate, including Microsoft Office products and Excel.
• Ability to navigate and work in client required ancillary systems.
• Ability to work in a remote / home office environment.
• Analytical and interpretive skills.
• Strong organizational skills.
• Excellent interpersonal skills.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.

Sedgwick is an Equal Opportunity Employer.