POSITION

SALARY

INDUSTRY

LOCATION

TYPE

REF #

OPEN

Insurance

Toronto

Permanent

106051C

POSITION DESCRIPTION

• Act as Claims Examiner on physical damage files (primarily property) handled by Independent Adjusters, by verifying and approving settlement of claims aligned with the Physical Damage File Management Model(s). In addition, manage a pending of direct handled files including staff claims. 

• Advise Claims Advisors on the application of various insurance contracts, and ensure conformance with our best practices with respect to the administration of claims, taking into account the client experience and the appropriate control of claim costs.

• Impart technical expertise and coach Claims Advisors on developing their technical skills.

• Analyze claims and prepare appropriate directives for Advisors and other parties involved regarding the settlement of claims.

• Seek settlement solutions and propose them to the Advisors, clients and other parties involved in cases that are in dispute or beyond the Advisor's authority limits.

• Follow up on results Verify and approve the settlement of claims submitted.

• May provide immediate expert technical support and guidance to Claims Advisors primarily through telephone queue response as required by Manager.

• May be involved in other related activities as required, i.e. working on special projects that may arise.

• To provide quality assurance services to claims operations to meet risk management, productivity and client satisfaction objectives, as required.

REQUIREMENTS

• Minimum 4 –5 years of proven extensive property claims experience is required as well as proven APD experience.

• Post-secondary education (College diploma or University degree) in business or insurance related field is preferred.

• CIP designation or enrolled in the program with special focus on courses required to obtain provincial adjusting licenses.

• Sound knowledge of automobile, home and liability insurance contracts required.

• Good knowledge of investigative techniques.

• Proficient at settling claims.

• Proficient with our in-house & other computer systems (i.e., INDEM, MS Word, Access, Excel, Lotus)

• Good knowledge of insurance-related laws and regulations and how to apply them.

• Superior time management and organizational abilities.