Senior Adjuster - Toronto, Canada - SGI

Description

Do you value integrity and innovation? How about passion and caring? Great Us too, and that's why you'll fit right in. Our intentional culture promotes trust and participation, encouraging you to bring your heart and mind to work every day.

Out-of-Scope

Location: Toronto (hybrid options)

Work Hours: Full-time, Monday to Friday

Division – SGI CANADA

Closes: April 23, 2024

The successful candidate will be responsible for investigating, evaluating and settling property and liability insurance claims for SGI CANADA (Ontario). In this role you will collect, review and analyze claims information to determine damage and values; interpret applicable acts, regulations and policy coverages; and negotiate claims settlements.

Key Accountabilities

Note: This section is not intended to be an exhaustive list of duties and responsibilities – other duties and responsibilities may be assigned.

Claims Investigation and Adjusting

• Conducts interviews to establish and adjust reserves for claims
• Investigates, examines, negotiates and settles complex property, commercial and liability claims.
• Assigns and provides direction to Independent Adjusters and other service providers on claims when required.
• Administers claims payments and settlements.
• Recognizes, determines and pursues subrogation and salvage opportunities.
• Confirms coverage in accordance with the policy wordings and applicable legislation and regulations.
• May conduct site visits to determine the scope of the damage or loss.
• Prepares files for legal action and represents the interests of the company in legal proceedings and/or other judicial, legal institutional, or regulatory groups or bodies.
• Ensures required forms and documents are completed and maintains claim records and files in accordance with corporate standards and provincial regulations.
• Engages appropriate expertise when needed to assess risk and coverage application as per company guidelines.
• Responds to inquiries for challenging claims and advances to appropriate company representatives where added authority or input is required.
• Responds to complex issues arising through claims handling and reaches equitable resolutions.

Customer Experience

• Addresses coverage decision responses and payments in a concise and timely fashion.
• Provides updates and information to all stakeholders to promote transparency and efficiency in the claims handling process.
• Anticipates client needs and seeks to find solutions while adhering to company guidelines.

Relationship Management

• Develops and maintains relationships and communication with broker partners to promote trust and confidence in claims processes and procedures.
• Participates in and supports a team environment where collaboration and input is valued and respected by its members.
• Acquires new information from industry sources and proposes ideas for process improvement and efficiencies.

Leadership

• Actively contributes to and supports a culture of a high performing workforce.
• Participates in divisional succession plans, ensuring ongoing professional and career development and supports development in others.
• Supports a culture of leadership and accountability to effectively deliver on strategic and corporate strategies.
• Is actively committed to leadership development across the company, supporting team and workforce readiness through mentoring, training and developmental opportunities.

Corporate Management

• Enables the success of programs and policies that are in alignment with corporate, strategic and divisional strategies.
• Manages risk in area of authority.
• Ensures that the Health, Safety and Emergency Management Policy is applied in area of responsibility.

Education & Experience

• A two-year diploma from an accredited post-secondary education institution in a relevant field of study such as Business.
• 5 – 7 years' experience in residential, commercial and liability claims handling.

Knowledge, Skills and Abilities

• Knowledge of Ontario's property insurance legislation and regulations
• Knowledge of property insurance policy wording.
• Knowledge of the principles and practice of insurance and techniques related to the settlement of claims.
• Skill in determining actual cash values, depreciation, repair and replacement costs applicable for property claims.
• Time management skills with the ability to prioritize workload and meet strict deadlines.
• Verbal and written communication skills, interpersonal and negotiation abilities and organizational skills.

Posting Close Date:

As you prepare to submit your application, and cover letter if applicable, please highlight the achievements that demonstrate why you're a great candidate for this role.