Claims Adjuster

Assurant, Inc.; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

Assurant, Inc. recherche un(e) expert(e) en sinistres AMF bilingue (français et anglais) pour rejoindre l’équipe au Québec et aider les clients à traverser le processus de réclamation avec confiance.

Vous enquêterez, évaluerez et réglerez des sinistres en veillant à la conformité réglementaire et à l'excellence du service. Vous répondrez aux questions, mentorerez l'équipe et participerez à des initiatives d'amélioration continue pour optimiser les résultats clients.

Qualifications

• Bilinguisme fr/anglais exigé, à l'oral et à l'écrit.
• Licence AMF Personal Lines Claims Adjuster.
• Minimum 3 ans d'expérience en sinistres automobile.
• Bonne maîtrise des assurances, enquêtes et règlement.
• Maîtrise de MS Office 365 et des applications Windows.
• Compétences analytiques, résolution de problèmes et souci du détail.

Responsibilities

• Enquêter, évaluer et gérer les sinistres depuis l'avis initial jusqu'à la résolution.
• Examiner les réclamations pour exactitude et conformité, et recommander l'approbation, le refus ou le renvoi.
• Analyser les informations pour évaluer la responsabilité et le risque.
• Traiter des sinistres complexes ou de grande valeur selon les seuils d'autorité.
• Coacher et guider les membres de l'équipe sur le traitement des sinistres et les exigences réglementaires.

Skills

Bilingual French & English

Analytical skills

Problem-solving

Attention to detail

Multi-tasking

Team collaboration

Tools

MS Office 365

Job description

Êtes‑vous un(e) expert(e) en sinistres agréé(e) passionné(e) par l’expérience client et par la prise de décisions justes et éclairées en matière de réclamations? Nous sommes à la recherche d’un(e) professionnel(le) bilingue (français et anglais) pour se joindre à notre équipe au Québec et jouer un rôle essentiel en aidant les clients à traverser le processus de réclamation en toute confiance.

À titre d’expert(e) en sinistres titulaire d’un permis de l’Autorité des marchés financiers (AMF), vous enquêterez, évaluerez, négocierez et réglerez des réclamations d’assurance tout en assurant une conformité complète aux exigences réglementaires provinciales. Vous mettrez à profit votre expertise technique pour gérer des dossiers complexes, soutenir vos collègues et contribuer à l’excellence opérationnelle. Plus important encore, vous ferez partie d’une équipe engagée à offrir un service exceptionnel et à vivre les valeurs d’Assurant en plaçant le client au cœur de chacune de ses actions.

Are you a licensed Claims Adjuster passionate about delivering exceptional customer experience and making fair, informed claim decisions? We’re looking for a bilingual (French & English) professional to join our team in Quebec and play a critical role in helping customers navigate the claims process with confidence.

As an AMF-licensed Claims Adjuster, you’ll investigate, evaluate, negotiate, and resolve insurance claims while ensuring full compliance with provincial regulations. You’ll leverage your technical expertise to handle complex claims, provide guidance to colleagues, and help drive operational excellence. Most importantly, you’ll be part of a team committed to delivering outstanding service and living The Assurant Way by putting customers first.

Why Join Us?

• Make a meaningful difference in customers' lives during critical moments
• Work in a collaborative, customer-focused environment
• Contribute to continuous improvement initiatives and business growth
• Expand your technical expertise while influencing claims best practices
• Join a company that values innovation, accountability, and teamwork

What will be my duties and responsibilities in this job?

• Investigate, evaluate, and manage insurance claims from initial notice through final resolution while delivering exceptional customer experience.
• Review claims for accuracy, completeness, coverage eligibility, and policy compliance, making recommendations for approval, denial, or referral.
• Analyze available information to determine liability, assess risk exposure, and support sound claim decisions.
• Handle complex and high-value claims within established authority levels, escalating issues as appropriate.
• Provide technical coaching and guidance to team members on claim handling, policy interpretation, and regulatory requirements.
• Partner with leadership to identify opportunities for process improvements, operational efficiencies, and enhanced customer outcomes.
• Participate in quarterly leadership reviews to evaluate claims performance and drive strategic initiatives.
• Conduct monthly file audits and quality reviews, identifying trends and implementing corrective action plans.
• Foster a culture of continuous improvement, critical thinking, innovation, and accountability.
• Monitor performance metrics and contribute to achieving departmental, corporate, and provincial regulatory goals.

What are the requirements needed for this position?

• Bilingual proficiency in French and English, both written and verbal
• Current and active Autorité des marchés financiers (AMF) Personal Lines Claims Adjuster License
• A minimum of 3 years of Automotive claims adjusting experience
• Proven understanding of insurance policies, claim investigations, and settlement practices
• Experience using Microsoft Office 365 and Windows-based applications
• Proven analytical, problem-solving, decision-making skills and attention to detail and commitment to accuracy
• Ability to manage multiple priorities in a fast-paced environment
• Collaborative mindset with a strong focus on teamwork and customer satisfaction

What other skills/experience would be helpful to have?

• Experience handling complex or escalated claims
• Ability to mentor, coach, and provide technical guidance to others
• Passion for continuous improvement and operational excellence
• Strong customer advocacy skills balanced with sound business judgment

What Success Looks Like

You are a trusted claims professional who combines technical expertise, critical thinking, and empathy to deliver fair and timely claim resolutions. You build trust with customers, support your teammates, and continually seek opportunities to improve processes and outcomes. Your commitment to service excellence helps create a claims experience that exceeds expectations and strengthens customer loyalty.

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