External Claims Adjuster

Jobtailor; Longueuil; On-site; CAD 90,000 - 120,000; Full time

Job summary

Jobtailor in Canada seeks a seasoned Claims Adjuster to investigate field claims, assess liability, and authorize settlements within authority limits. The role requires strong fraud detection and advisory capabilities across personal and commercial claims, including property damage and bodily injury.

Fluency in French and advanced English are essential, with a college diploma in Property and Casualty Insurance and AMF certification.

Qualifications

• College diploma in Property and Casualty Insurance is required.
• Ten years of field claims experience with at least five years civil liability handling.
• Must hold Business Insurance Claims Adjuster Certificate issued by the AMF.
• Fluent in French, both spoken and written; advanced English skills required.

Responsibilities

• Investigate assigned claims in the field and obtain statements.
• Identify potentially fraudulent claims and refer to manager for SIU referral.
• Assess third-party liability or shared liability and authorize settlements within authority.
• Obtain approvals for claims exceeding authority; request legal opinions in complex cases.
• Represent the insurer at settlement conferences across the province.
• Handle complex personal and commercial claims, including property damage and bodily injury.
• Provide advisory services to members and stakeholders.

Skills

Field Claims Investigation

Civil Liability Claims Handling

Fluency in French

Advanced English Proficiency

Interpersonal Communication

Education

College diploma in Property and Casualty Insurance

Job description

• Investigate assigned claims in the field, including obtaining statements from the relevant parties
• Identify potentially fraudulent claims and submit them to the manager for referral to the Special Investigations Unit
• Assess the possibility of third-party liability proceedings (call in warranty) or shared liability
• Authorize settlements and accept liability for claims within the applicable payment authority limit
• Obtain the appropriate approvals for claims exceeding the payment authority limit
• Request legal opinions in complex cases and subsequently take a position
• Represent the insurer at settlement conferences held throughout the province
• Handle complex personal and commercial insurance claims
• Investigate and resolve claims involving property damage and bodily injury
• Provide advisory services to members and various stakeholders

Requirements

• College diploma or college certificate in Property and Casualty Insurance
• 10 years of experience as a field claims adjuster, including at least 5 years specifically handling civil liability claims
• Hold a valid Business Insurance Claims Adjuster certificate issued by the Autorité des marchés financiers
• Fluency in French, both spoken and written
• Advanced proficiency in English, both spoken and written
• Ability to interact with anglophone colleagues, partners, clients or suppliers, or meet company growth objectives

Core Competencies

Demonstrates expertise in investigating and resolving complex personal and commercial insurance claims, with a strong focus on civil liability and fraud detection. Proficient in providing advisory services and representing insurers in settlement conferences while ensuring compliance with regulatory standards.

Highest-signal resume keywords

• Field Claims Investigation
• Civil Liability Claims Handling
• Business Insurance Claims Adjuster Certification
• Fluency in French
• Advanced Proficiency in English

Hard Skills

• Claims Investigation
• Fraud Detection
• Settlement Authorization
• Liability Assessment
• Legal Opinion Requesting
• Complex Claims Resolution
• Property Damage Claims
• Bodily Injury Claims
• Third-Party Liability Assessment
• Advisory Services

Soft Skills

• Interpersonal Communication
• Stakeholder Engagement
• Problem Solving
• Negotiation Skills
• Collaboration

Certifications & Qualifications

• Business Insurance Claims Adjuster Certificate

Industry Keywords

• Property and Casualty Insurance
• Claims Adjusting
• Insurance Fraud
• Settlement Conferences
• Insurance Liability