Advanced Claims Adjuster leading and overseeing claims operations at Independence Pet Holdings. Ensuring regulatory compliance and operational efficiency in a growing pet insurance organization.
About the role
- Claims Representative investigating Auto Insurance claims for fair settlements. Responsible for fraud detection, liability determination, and communication with clients and legal parties.
Responsibilities
- Coordinate investigations into potential fraud, misrepresentation, and/or exaggeration within Auto Insurance claims
- Collect evidence and analyze information to determine liability and coverage, including damage valuations, statements and examinations under oath (EUO), expert reports, customer and claim-related documents, witness testimony, police reports, and all other information required to clarify and/or justify a claim
- Identify fraud indicators and effectively coordinate investigative, vendor and legal resources to validate indicators and make decisions on liability and coverage
- Communicate in a timely and respectful manner with customers, claimants and lawyers when making decisions on coverage, reporting findings, and settling claims
- Handle disputes and payments into court, interpret case law and legal opinions, and pursue fair and equitable resolutions to customer disputes, complaints and escalations
- Negotiate settlements fairly and equitably
- Participate and/or lead project work, by working with members of the Investigative Services and Claims departments to deliver on project goals
- Ensure all claims and investigations are clearly documented and meet all legislative requirements
Requirements
- A minimum of 2 years claims adjusting experience in Auto Damage insurance
- Knowledge of provincial insurance act, Ontario Auto policy
- Experience with and/or knowledge of the legal dispute process for insurance claims
- Strong analytical, negotiation, and decision-making skills
- Strong communication and time management skills
- Exceptional written and verbal communication skills
- A friendly and can-do attitude
- University degree or college diploma and/or equivalent business experience
- Completed, or are working toward, Chartered Insurance Professional (CIP) designation
- Ability to be problem-solve and innovate investigation strategy
- Additional investigation experience in the insurance and/or financial industry
- Bilingualism in English and French and/or any other language
Benefits
- Flexible work arrangements and a hybrid work model
- Possibility to purchase up to 5 extra days off per year
- Multiple benefits offered to support physical and mental wellbeing, including telemedicine, Wellness account and much more
- Share plan & other savings: up to 12% of salary or even more (ask how you could earn guaranteed income for life)
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 Coordinator reviewing and processing Disability claims at DMI. Managing client communications and claims paperwork with a focus on efficiency and accuracy.
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.
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.
Expert en sinistres routiers pour Beneva à Trois - Rivières, responsable d'analyser les sinistres et gérer les dossiers d'assurance.