Claims Adjuster – Automobile

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

📋 Description

• Conduct independent investigations on assigned claims via telephone

• Collect pertinent information related to losses

• Assess coverage and validate claims

• Communicate with insured parties, claimants, and clients

• Draft reports and negotiate settlements

• Maintain accurate records in internal computer systems

• Review and interpret policy language to confirm and apply coverage

• Oversee billing for assigned files within set timelines

• Foster client relationships

• Engage in ongoing training regarding issues, legislative updates, and industry trends

• Identify needs and coordinate the assignment of mandates to field claims adjusters

• Manage both intermediate and complex commercial and personal automobile claims

• Gather data to determine exposure and set reserves

• Authorize payments and settle claims within specified authority limits

• Evaluate liability and resolve claims as per the assessment

• Approve and process assigned claims, determine benefits, and manage the action plan

• Handle subrogation and negotiate settlements

• Ensure proper documentation and accurate coding for files

• Travel as necessary

• Undertake other related duties as assigned

⛳️ Requirements

• Possess the required claims adjuster license for the applicable province

• Obtain the necessary license in the local province or a combination of other provinces within six months of hire

• Hold a four-year university degree or equivalent relevant claims-adjusting experience, or a two-year college diploma in a related field

• Be enrolled in or have completed the Chartered Insurance Professional (CIP) program

• Quebec claims adjuster license (AMF) is required, or the ability to obtain one

• Experience in adjusting commercial claims and/or a Quebec commercial claims adjuster license is a significant asset

• Successful completion of Sedgwick’s trainee program or prior experience with a third-party administrator (TPA), field claims adjusting, or an insurance company

• One to three years of experience in claims management and settlement

• Strong claims-adjusting, negotiation, and analytical capabilities

• Excellent interpersonal and communication skills

• Advanced proficiency in computer tools, including Microsoft Office, Outlook, and web applications

• Subject-matter expertise in insurance principles and laws relevant to the business line, recoveries, offsets and deductions, claim and disability duration, and cost-containment principles applicable to the business line

• Exceptional oral and written communication skills, including presentation abilities

• Proficiency with PCs, including Microsoft Office applications

• Strong analytical and interpretive abilities

• Excellent organizational skills

• Strong interpersonal skills

• Excellent negotiation skills

• Capability to create and complete comprehensive, accurate, and constructive written reports

• Ability to work effectively in a team environment

• Capacity to meet or exceed performance competencies

• Four years of claims management experience or an equivalent combination of education and experience required

• Obtain and maintain state adjusting licenses as required for the role

🏝️ Benefits

• Work-life balance

• Supportive culture

• Inclusive, barrier-free recruitment and selection process

• Accommodation measures available during recruitment, when needed