Field Claims Specialist III

Red River Mutual; Winnipeg; On-site; CAD 70,000 - 110,000; Full time

Job summary

Red River Mutual is seeking an experienced Field Adjuster to investigate, evaluate, and negotiate complex P&C losses across commercial, agriculture, and residential lines. You will communicate with policyholders and brokers, travel to loss sites, and collaborate with internal and external experts to reach fair resolutions.

The role requires strong analytical, negotiation, and leadership abilities, as well as a valid driver’s license and willingness to travel.

Qualifications

• High school diploma; post-secondary education preferred.
• CIP designation preferred.
• 10 years field adjusting experience.
• Strong communication and collaboration skills.
• Valid class 5 driver’s license.
• Able to travel to loss sites within the territory.
• Comfortable working at heights.
• Demonstrated leadership abilities.

Responsibilities

• Travel to loss sites to investigate reported losses.
• Review policy wordings to evaluate available coverage.
• Interpret contracts and statutes for claims scenarios.
• Communicate coverage results to policyholders and brokers.
• Coordinate internal and external experts for investigations.
• Keep electronic claim files up-to-date.
• Manage loss and expense reserves and ensure timely payments.
• Negotiate resolutions of insured losses.
• Assist in catastrophe loss adjudication outside the territory.
• Mentor Field Adjusting team and support training.
• Promote Red River Mutual with business partners.

Skills

Teamwork

Communication

Emotional intelligence

Analytical thinking

Organization

Negotiation

Leadership

Computer skills

Claims software

Construction knowledge

Time management

Problem solving

Education

High school diploma

Post-secondary education

CIP designation

Tools

Claims Connect

Mobile Claims

Guidewire

Job description

1 Research Rd, Winnipeg, MB R3T 6E3, Canada

Job Description

COMPANY PROFILE:

Red River Mutual is a progressive insurance company with a focus on our customers and employees. We believe everyone has a right to feel safe and protected, and to know that someone is looking out for them. So we treat our employees like family members – we’ll be honest with them, support them, offer a listening ear, admit when we’re wrong and be a positive force in their lives and in our communities.

LOCATION: Altona, MB or Winnipeg, MB

SCHEDULE: Full-time

REPORTS TO: Claims Manager

DIRECT REPORTS: N/A

PURPOSE OF POSITION:

Working within predetermined authority levels and under the direction of the Claims Manager, this position investigates, evaluates, and negotiates moderate to complex commercial, agriculture and residential property and casualty insurance losses reported by Red River Mutual Policyholders. This position is responsible for communicating with policyholders, licensed insurance brokers and other various stakeholders to achieve an efficient and fair resolution to all assigned claim files.

KEY RESPONSIBILITY AREAS:

• By traveling to various loss sites in a predefined territory, work with Policyholders to investigate the circumstances of reported losses using various investigation techniques
• Review complex policy wordings to evaluate the availability of insurance coverage for reported losses
• Interpret legal contracts (commercial leases, condominium declarations, construction agreements), miscellaneous statutes, and relevant case law and accurately apply to the applicable claim scenario.
• Effectively communicate the results of the coverage review verbally and in writing to the policyholder and independent insurance broker
• Engage and coordinate various internal and external experts to assist in the investigation, evaluation, or indemnification of the loss
• Responsible for ensuring electronic claim file is documented and up-to-date.
• Manage loss and expense reserves accurately and ensure timely claim payments.
• Manage the policyholder and repairers/retailers to bring the claim to a quick and satisfactory resolution for all involved.
• Negotiate resolution of insured losses based on the results of the investigation
• Where required, travel to catastrophe loss sites outside adjusting territory to aid in the adjudication of losses.
• Assist the Claims Manager/Supervisor by informally mentoring the Field Adjusting team members and assist in the delivery of training.
• Network with business partners to promote Red River Mutual.

QUALIFICATION AND SKILLS:

• High school diploma.
• Post-secondary education strongly preferred.
• Chartered Insurance Professional (CIP) designation strongly preferred.
• Minimum 10 years field adjusting experience.
• Proven teamwork, relationship management and collaboration skills.
• Strong written and oral communication skills.
• High level of emotional intelligence and interpersonal skills in stressful situations.
• Exceptional analytical, problem solving and decision-making capabilities.
• High level of organization and attention to detail.
• Advanced negotiation and conflict management skills.
• Proficient computer skills and experience with Claims Connect/Mobile Claims, and Guidewire.
• Deep understanding of building construction/renovation techniques.
• Ability to handle fluctuating workloads and demanding timelines.
• Valid class 5 driver’s license.
• Comfortable working at heights.
• Demonstrated leadership abilities.

We thank all applicants for their interest; however, only those selected for an interview will be contacted.

Accommodation for applicants with disabilities is available upon request at any stage of the recruitment process. Accessible employment policies and alternative application formats are available upon request by contacting [e-mail] or 1-800-370-2888 (toll free).

As part of our hiring process, successful candidates will be required to complete a comprehensive background check. Where applicable, this may include a driver's abstract. Employment offers are contingent upon these requirements being met and may be withdrawn during the process if any of the requirements are not met to the Company’s satisfaction.

1 Research Rd, Winnipeg, MB R3T 6E3, Canada