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Claims Adjuster QC - Laval, Canada - CAA Club Group
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
