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 concerning all claims.

• Manage medium-complexity property insurance claims alongside low-complexity accident benefit and bodily injury claims.

• Investigate and authorize claims.

• Employ analytical skills and discipline-specific knowledge to resolve issues.

• Formulate solutions through informed decision-making.

• Negotiate claim settlements and establish agreements with members, clients, third parties, and others.

• Provide assistance to members, clients, and practitioners.

• Perform investigations and inspections to evaluate damage, estimate costs and market value, and generate and review reports and other documentation to determine settlement amounts.

• Examine medical, financial, and employment information to assess eligibility for benefits based on statutory guidelines.

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

• Adhere to deadlines to guarantee client satisfaction and mitigate penalties.

• Negotiate with all stakeholders involved to facilitate seamless claims processing.

⛳️ Requirements

• College diploma in a relevant field.

• At least three years of pertinent experience.

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

• Proficiency in French is mandatory.

• Competence in conducting claims investigations and inspections.

• Skill in assessing damage, estimating costs and market value, and producing and reviewing reports and other documents.

• Ability to analyze medical, financial, and job-related information to determine eligibility for benefits based on statutory criteria.

• Capability to settle claims in accordance with organizational standards, policies, quality commitments, and contract terms.

• Proficiency in negotiating with all parties involved in the claims process.

• Action-oriented mindset.

• Strong business acumen.

• Effective communication skills.

• Customer-centric approach.

• Interpersonal savvy.

• Quick learner.

🏝️ Benefits

• Competitive salary along with an annual bonus.

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

• Defined benefit pension plan providing reliable, stable income during retirement.

• Group insurance coverage, including telemedicine services.

• Reimbursement for health and wellness expenses as well as telework equipment.