Claims Advisor, P&C Insurance

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

📋 Description

• Build and sustain professional relationships with members and clients regarding all claims.

• Manage medium-complexity property insurance claims.

• Oversee low-complexity accident benefit and bodily injury claims.

• Investigate and authorize claims.

• Utilize analytical skills and specialized knowledge to resolve issues.

• Create solutions and negotiate settlements for claims.

• Enter into agreements with members, clients, third parties, and others.

• Provide assistance to members, clients, and practitioners.

• Perform investigations and assessments to evaluate damage, estimate costs, and determine market value.

• Generate and review reports and documents to establish settlement amounts.

• Analyze medical, financial, and employment information to assess benefit eligibility.

• Resolve claims in accordance with organizational standards, policies, quality commitments, and contractual terms.

• Adhere to deadlines to ensure client satisfaction and minimize penalties.

• Negotiate with all parties involved to facilitate efficient claims processing.

⛳️ Requirements

• College diploma in a related discipline.

• At least three years of relevant experience.

• Alternative combinations of qualifications and relevant experience may be accepted.

• Proficiency in French is mandatory.

• Capability to investigate and assess property damage.

• Skill in estimating costs and market values.

• Ability to analyze medical, financial, and employment data.

• Familiarity with statutory criteria for benefit eligibility.

• Understanding of claims settlement standards, policies, quality commitments, and contractual terms.

• Negotiation expertise for claims settlements.

• Strong analytical skills and specialized knowledge.

• Effective decision-making abilities.

• Strong interpersonal skills.

• Proactive and action-oriented.

• Business acumen.

• Effective communication skills.

• Customer-focused mindset.

• Appreciation for diversity.

• Quick learner.

🏝️ Benefits

• Competitive salary along with an annual bonus.

• Four weeks of flexible vacation starting from the first year.

• Defined benefit pension plan for predictable, stable income during retirement.

• Group insurance coverage, including telemedicine services.

• Reimbursement for health and wellness expenses and telework equipment.

• Accommodations available at any stage during the recruitment process.