Claims Adjuster

This is a fully remote position, open to applicants in Canada.

📋 Description

• Investigate, evaluate, and oversee insurance claims from initial notification to final resolution.

• Review claims for accuracy, completeness, eligibility for coverage, and adherence to policy terms.

• Recommend approval, denial, or escalation of claims as necessary.

• Analyze available data to ascertain liability and evaluate risk exposure.

• Manage complex and high-value claims within the scope of delegated authority.

• Provide technical guidance and support to team members.

• Collaborate with managers to pinpoint opportunities for process enhancement and operational efficiency.

• Participate in quarterly leadership evaluations.

• Conduct monthly audits of files and quality assessments.

• Identify trends and implement corrective action strategies.

• Promote a culture of continuous improvement, critical thinking, innovation, and accountability.

• Monitor performance metrics and aid in achieving departmental, corporate, and provincial regulatory goals.

• Deliver outstanding customer service and ensure fair, timely settlements.

⛳️ Requirements

• Proficiency in both French and English, in spoken and written form.

• A valid and active personal lines adjuster license issued by the Autorité des marchés financiers (AMF).

• At least three (3) years of experience in automobile claims adjustment.

• Strong understanding of insurance policies, claims investigations, and settlement practices.

• Familiarity with Microsoft Office 365 and applications functioning in a Windows environment.

• Exceptional analytical, problem-solving, and decision-making abilities, with a keen focus on detail and accuracy.

• Capacity to handle multiple priorities in a dynamic, fast-paced, and changing environment.

• Team-oriented mindset with a strong dedication to collaboration and customer satisfaction.

• Experience managing complex or escalated claims.

• Ability to act as a mentor, coach, and technical resource for peers.

• Commitment to continuous improvement and operational excellence.

• Strong customer advocacy skills complemented by sound business judgment.

🏝️ Benefits

• Engage in continuous improvement initiatives and contribute to business growth.

• Enhance technical expertise and influence best practices.

• Work in a collaborative, customer-centric environment.

• Be part of an organization that values innovation, accountability, and teamwork.

• Opportunities for salary advancement within the role.

• Virtual interviews conducted via video.

• Identity verification process required, which may include biometric technology, where permitted by applicable law.