Claims Processor evaluating and processing pet insurance claims for Pets Plus Us across Canada. Reviewing veterinary histories, policy eligibility, coverage, and compensation decisions.
About the role
- Claims Adjuster managing bodily injury claims in a hybrid work setup. Involves client follow-ups, investigations, and maintaining high customer service standards while supporting field requests.
Responsibilities
- You will work in a Hybrid based environment supporting field requests within the Calgary area!
- The Claims Adjuster actively adjusts claims while ensuring that business development opportunities are maximized.
- This involves marketing and follow-up of opportunities in a timely manner.
- Prompt contact and follow up with policy holders and claimants.
- Investigate the cause and report to clients with solid recommendations.
- Using supplied technology (e.g., Docusketch.), scope and establish quantum of damages.
- Identify exposures, recommend reserves, recommend investigation required for exposure, prepare action plans, and negotiate fair and satisfactory settlements.
- Throughout the claims process, you will provide high level of customer service to clients and the insured.
- You will participate and share ownership and responsibility for after-hours customer service requirements when required.
- Perform duties assigned to him/her in compliance with established work standards, policies and procedures.
Requirements
- Completion of high school education; University degree or post-secondary education related to insurance will be given preference.
- Proficient in use of Microsoft Office Products (Outlook, Word, Excel, OneDrive).
- Minimum of 3 years’ experience in working with bodily injury claims
- Ongoing commitment to education and learning; currently pursuing CIP designation
- Must hold a Level 1 adjuster license in Alberta
- Effective analytical skills, including identification of cause-and-effect dynamics
- Able to draw valid conclusions and effectively communicate them.
- Ability to interpret complex documents of a legal nature, perform and understand advanced numerical calculations including analysis of comparative information.
- Excellent communication skills, including listening, interviewing, negotiating, must be able to flex style appropriate to audience.
- Proactive and positive approach to customer service ensuring that all inquiries are effectively dealt with in a timely manner.
- Strong interpersonal skills allowing you to effectively deal with conflict and difficult situations.
Benefits
- You will be supported by experienced local claims support, centralized after hours support, and dictation services
- You are compensated for your billable hours and other costs.
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