Senior investigator analyzing suspected fraud and complex property claims for Intact, a Canadian insurer. Conducting investigations, evaluating evidence, and documenting fraudulent activity.
About the role
- Claims Specialist examining commercial property and auto claims at Everest Insurance. Responsibilities include investigating claims, verifying coverage, and ensuring timely resolution.
Responsibilities
- Direct examining commercial property and auto claims of medium severity
- Investigate, analyze, evaluate and adjust assigned claims in the most efficient, effective way while delivering a customer-centric experience
- Coverage verification through policy analysis
- Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; and escalating issues as appropriate
- Proactive and timely establishment and maintenance of claim reserves
- Proactive and timely customer service both internally and externally responding to enquiries and participating in customer marketing efforts as required
- Monitor and manage outside vendors, including independent adjusters and counsel within accepted budgets and protocols
Requirements
- Knowledge of the insurance industry with ideally 1-3 years of claims adjustment experience
- Superior oral and written communication skills, including the concise presentation of often complicated facts along with analysis and recommendations
- Bilingual French and English preferred
- Auto or commercial property experience preferred
Benefits
- health insurance coverage
- employee wellness program
- life and disability insurance
- retirement savings plan
- paid holidays
- paid time off (PTO)
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