Senior Accident Benefits Claims Adjuster investigating, estimating, negotiating, and settling property and casualty claims for Sedgwick. Remote telecommuting role based in Prince Edward Island.
About the role
- Expert en sinistres bilingue chez Assurant, entreprise mondiale de services aux consommateurs. Enquêtant, évaluant et réglant des réclamations automobiles au Québec.
Responsibilities
- Investigate, assess, and manage insurance claims from initial notice through final settlement
- Review claims to validate their accuracy, completeness, coverage eligibility, and compliance with policy terms
- Recommend claim approval, denial, or escalation as needed
- Analyze available information to determine liability and assess risk exposure
- Handle complex and high-value claims within delegated authority
- Provide technical coaching and support to team members
- Collaborate with managers to identify process improvement and operational efficiency opportunities
- Participate in quarterly leadership reviews
- Conduct monthly file audits and quality reviews
- Identify trends and implement corrective action plans
- Foster 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
- Deliver an exceptional customer experience and fair, timely settlements
Requirements
- Fluency in French and English, both spoken and written
- Valid and active personal lines adjuster license issued by the Autorité des marchés financiers (AMF)
- Minimum of three (3) years of experience in automobile claims adjusting
- Excellent knowledge of insurance policies, claims investigations, and settlement practices
- Experience with Microsoft Office 365 and applications operating in a Windows environment
- Strong analytical, problem-solving, and decision-making skills, with a focus on detail and accuracy
- Ability to manage multiple priorities in a dynamic, fast-paced, and evolving environment
- Collaborative mindset and strong commitment to teamwork and customer satisfaction
- Experience handling complex or escalated claims
- Ability to serve as a mentor, coach, and technical resource to colleagues
- Passion for continuous improvement and operational excellence
- Excellent customer advocacy skills combined with sound business judgment
Benefits
- Contribute to continuous improvement initiatives and business growth
- Develop technical expertise and influence best practices
- Collaborative, customer-focused environment
- Organization that values innovation, accountability, and teamwork
- Opportunities for salary growth within the role
- Virtual interviews conducted by video
- Required identity verification process, which may include biometric technology, where permitted by applicable law
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