Claims Adjuster handling the investigation and evaluation of insurance claims for Sedgwick. Ensuring accurate coverage and validity while maintaining company standards for quality and service.
About the role
- Claims Specialist managing complex claims in Casualty Line of Business for CNA. Requires 8-10 years of experience in commercial property and casualty claims handling.
Responsibilities
- Manages complex investigations of claims, including coverage defenses, liability, and damages exposures
- Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly
- Effectively manages loss costs and claim expenses
- Directs all types of investigative activity or litigation on claims and ensures adequate and timely reserves are set
- Consults and collaborates with panel counsel regarding discovery and litigation strategy
- Directs and may engage in the negotiation complex settlement packages to drive cost effective and timely settlements
- Makes recommendations to and participates with senior management and business leaders in the development and implementation of claims policy and business strategy
- Actively pursues and identifies ways to reduce inefficiencies in claims processes
- Utilizes oral presentation and writing skills to escalate or efficiently communicate appropriate exposures to senior claims management and other internal business partners, as needed
- Keeps current on provincial and national regulations and issues industry activity and trends
- May represent company in industry trade groups or other important events involving external business partners and clients
- Mentors and guides less experienced claims staff and other functional areas
- Contributes to the development of claim training
- Responsible for special claims projects and presentations
- Assist with the development of policy language
- Attend regular underwriting account meetings with internal team, brokers, and insureds
- Conduct quarterly quality file reviews and assist with quality improvement plans
- Identifies trends in complex claims and settlement strategies and communicates with senior management
Requirements
- Bachelor's degree and relevant claims experience with a minimum of 8-10 years of commercial property and casualty claims handling experience
- Professional designations preferred
- High level of technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices, and procedures
- Excellent communication, negotiation, and presentation skills
- Ability to effectively interact with all levels of CNA's internal and external business partners
- Excellent analytical and problem-solving skills, with the ability to manage multiple projects
- Ability to embrace change and value diverse opinions and ideas
- Knowledge of Microsoft Office Suite and other business-related software and company systems
- Ability to articulate complex claim facts, issues, and analyses in concise presentations to business partners and management as well as in internal reports
Benefits
- comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional, and social wellbeing goals
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Report this job
Found something wrong with the page? Please let us know by submitting a report below.
Claims Adjuster managing out - of - province automobile and cargo claims in Montreal. Collecting witness statements and negotiating settlements on behalf of clients at ClaimsPro.
Advanced Claims Adjuster leading and overseeing claims operations at Independence Pet Holdings. Ensuring regulatory compliance and operational efficiency in a growing pet insurance organization.
Claims Coordinator reviewing and processing Disability claims at DMI. Managing client communications and claims paperwork with a focus on efficiency and accuracy.
Accident Benefits Claims Specialist handling complex claims for Intact in Canada. Investigating, evaluating, negotiating, and resolving Accident Benefits claims in alignment with corporate policies.
Property Field Claims Specialist investigating residential property claims for Allstate Insurance Company of Canada. Focusing on customer service and equitable settlement in the Greater Toronto area.
Claims Adjuster managing claims for property and casualty insurers. Examining policies and negotiating settlements for effective damage assessment and repair cost estimation.
Disability Claims Analyst at RBC managing diverse disability claims using multidisciplinary approaches. Responsible for communication, analysis, and collaboration for effective claim management.
Catastrophe Claims Adjuster assisting clients through challenging property claims with confidence and care. Join a world - class team at Aviva Canada to support and manage claims effectively.
Technical Team Lead providing remote leadership in claims adjusting, ensuring quality and supporting adjuster development in Quebec. Strong technical expertise and bilingualism required.