Claims Adjuster

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

📋 Description

• Investigate, assess, and manage insurance claims from the moment of initial notification to the final resolution, ensuring an exceptional customer experience throughout the process.

• Review claims for accuracy, completeness, eligibility for coverage, and compliance with policy guidelines, providing recommendations for approval, denial, or referral when necessary.

• Analyze available data to ascertain liability, evaluate risk exposure, and support informed claims decisions.

• Manage intricate and high-value claims within designated authority limits, escalating issues as needed.

• Offer technical coaching and support to team members regarding claims processing, policy interpretation, and regulatory standards.

• Collaborate with leadership to pinpoint opportunities for process enhancements, operational efficiency, and improved customer outcomes.

• Engage in quarterly leadership reviews to assess claims performance and support strategic initiatives.

• Conduct monthly audits of files and quality reviews, recognizing trends and implementing corrective action plans.

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

• Track performance metrics and contribute to the achievement of departmental, corporate, and provincial regulatory objectives.

⛳️ Requirements

• Bilingual proficiency in French and English, both written and spoken.

• Current and valid Autorité des marchés financiers (AMF) Personal Lines Claims Adjuster License.

• At least three (3) years of experience in automotive claims adjusting.

• Comprehensive knowledge of insurance policies, claims investigations, and settlement procedures.

• Familiarity with Microsoft Office 365 and Windows-based applications.

• Strong analytical, problem-solving, and decision-making abilities, with meticulous attention to detail and a commitment to accuracy.

• Capability to manage multiple priorities in a dynamic, fast-paced environment.

• A collaborative approach with a strong dedication to teamwork and customer satisfaction.

• Experience in managing complex or escalated claims.

• Ability to mentor, coach, and provide technical support to colleagues.

• Enthusiasm for continuous improvement and operational excellence.

• Excellent customer advocacy abilities coupled with sound business judgment.

🏝️ Benefits

• Make a significant impact in customers' lives during critical moments.

• Work within a collaborative, customer-oriented environment.

• Contribute to initiatives aimed at continuous improvement and business growth.

• Enhance your technical expertise while shaping best practices in claims management.

• Join an organization that prioritizes innovation, accountability, and teamwork.