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Laval

    Claims Adjuster QC - Laval, Canada - CAA Club Group

    CAA Club Group
    CAA Club Group Laval, Canada

    Found in: Talent CA C2 - 1 day ago

    Default job background
    Description

    Position Details

    Reporting to the Claims Supervisor, the Claims Adjuster investigates, evaluates and settles both Personal lines and Commercial lines claims.

    Key accountabilities and responsibilities:

    • Attend to inquiries by telephone, fax, letter and email pertaining to all facets of personal lines and commercial lines claims.

    • Proactively investigate and evaluate potential claims under a variety of policies to determine coverage, damages, liability and settlement through methods of direct handling and claims examining.

    • Review and analyze policy conditions, provisions, exclusions and endorsements pertinent to a variety of losses.

    • Appoint claims vendors (appraisers, adjusters, contractors, experts, lawyers) as directed and in accordance with company guidelines.

    • Process payments (or denials) in accordance with established authority levels, policy conditions and guidelines of the Company.

    • Refer all files above established level of authority to direct supervisor with recommendations for reserves, payments and resolution with follow up through to file closure.

    • Direct and provide feedback to external claims vendors for effective investigation, control and facilitation of claims.

    • Identify, direct and manage efforts to maximize subrogation and recovery from other parties.

    • Maintain timely and accurate claim reserves on files.

    • Maintain/record timely loss and expense reserves and payments in the Claims System on a timely basis and participate in the recording and reporting of claims accruals

    • Document claim files with appropriate particulars of claim and claim handling.

    • Advise the Underwriting department of any information gathered which may affect risk assessment.

    • Meet or exceed established objectives for service and performance.

    • Additional duties and special projects as assigned by Supervisor/Manager.

    • Some travel may be involved.

    Who You Are

    • Must be fluently bilingual (French and English)

    • College certificate

    • Personal lines and commercial lines permit from AMF required

    • Minimum of 2 years of experience in claims adjusting

    • Able to work independently and as part of a team

    • Able to manage changing priorities

    • Excellent negotiation, analytical and investigative skills

    • Strong written and verbal communication skills

    • Strong time management, problem solving and organizational skills

    • Be very comfortable in a computerized environment

    What's In It For You

    • Competitive total compensation and benefits package

    • Annual shared success program based on performance

    • Annual merit increases based on performance

    • Registered Retirement Savings Plan with a matching contribution component

    • Complimentary CAA Membership

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