Automobile Claims Adjuster for National Accounts at ClaimsPro. Handling automotive claims including accidents and theft, ensuring high - level service throughout the claims process.
About the role
- Claims Specialist responsible for guiding customers through the claims process at Zurich Canada. Managing low to moderate complexity personal lines auto claims primarily through phone interactions.
Responsibilities
- Document claims file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate exposure and complexity personal lines claims.
- Exercise judgement to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
- Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.
- Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate.
- Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims.
- Assess damages by calculating applicable damages or range of damages allowed by law.
- Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.
- Meet quality standards by following best practices.
- Ensure customer service by proactively communicating information; responding to inquiries; following customer protocols and may participating in customer marketing efforts.
- Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the insured.
- Ensure legal compliance by following state and federal laws and regulations and internal control requirements.
- Refer claim to subrogation and fraud teams by identifying potential subrogation and fraud.
- Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
- Protect Zurich’s reputation by keeping claims information confidential.
- Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks, and participating in professional societies.
Requirements
- Bachelor’s Degree and 2 or more years of experience in the Claims or Insurance area OR
- Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience in the Claims or Insurance area OR
- High School Diploma or Equivalent and 4 or more years of experience in the Claims or Insurance area OR
- Completion of Zurich Claims Training Program and 1 or more years of experience in the Claims or Insurance area AND
- Microsoft Office experience
- Knowledge of insurance regulations, markets and products
- Prior experience in auto claims handling, insurance claims, or a related customer service field. Understanding of auto insurance policies, coverage, and regulations.
Benefits
- Comprehensive health/benefits plan with varying levels of coverage
- Minimum of four weeks of vacation per year
- Four personal days per year
- Access to a comprehensive range of training and development opportunities
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 Specialist managing complex investigations of claims at CNA. Responsible for settlement negotiations and compliance with regulations across various Canadian cities.
Claims Specialist handling high complexity property claims in Canada with a focus on superior customer service and effective negotiation on claims settlements.
Senior Casualty Claims Adjuster managing casualty and liability claims with a global legal services firm. Field - based with remote flexibility in the Greater Toronto Area.
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.
Claims Adjuster managing Bodily Injury claims within Edmonton area for ClaimsPro LP. Supporting field requests and ensuring business development opportunities are maximized.
Recovery Claims Adjuster focusing on property recoveries and subrogation claims at Aviva Canada. Investigating, negotiating and settling claims while delivering superior customer service.
Claims Coordinator managing dental claims for Alberta Blue Cross. Ensures payments are timely, maintains strong customer relationships, and suggests process improvements in a remote setting.
Claims Adjuster I assisting customers who suffered minor injuries from motor vehicle accidents. Ensuring positive customer journey during claims process with an accelerated training program.
Claims Representative investigating Auto Insurance claims for fair settlements. Responsible for fraud detection, liability determination, and communication with clients and legal parties.