What is the job?
BCAA's Claims Department has an opening for a Claims Adjuster I. The Claims Adjuster 1 operates within Claims Performance Standards to Property and Casualty Insurance Claims (homeowners, recreational vehicle, classic car, travel accident benefits) primarily by telephone and determines if coverage is available for a loss within the insuring agreement, and then proceeds to settle or deny the claim.
The scope of the position and the nature of the cases handled is determined by the Claims Characteristics Table accompanying the job description.
What is the status?
What are the hours?
35 hour work week
What you will be doing?
Investigate and Adjust Claims:
Advises insured of the rights and obligations in accordance with the policy and the appropriate Insurance Act.
Maintains a professional working relationship with the insured.
Investigates the claim in order to determine if the policy will respond to the loss and investigates the legitimacy of the claim.
Interviews and/or takes statements from policyholders, claimants and witnesses.
Reviews information including, but not limited to, estimates, photos and/or videos of property damage, proof of ownership, hospital records, and other pertinent information required to fully substantiate the claim.
Receives and evaluates information to determine cost of loss.
Informs manager if claim exceeds authority limits, making recommendations where appropriate
Sets and maintains appropriate reserves to maximum authority level.
Ensures Service Delivery Partners are working within prescribed standards.
Maintains updated, current and organized claims files in accordance with Claims Performance Standards.
Negotiate and Settle Claims:
Negotiates a fair and cost effective settlement with the insureds', claimants or claimant’s legal representative either directly or through the services of retained counsel.
Validates information, including but not limited to invoices and receipts.
Processes payments in accordance with BCAA best practices
Assesses economic feasibility to pursue subrogation and proceeds where appropriate.
Arranges disposal of salvage arising from settled claims in accordance with departmental standards.
Remains current on industry knowledge and incorporates information as appropriate.
Participates in claims dispute resolution process as required.
Periodically receives call and opens claim file.
As required, provides back-up assistance to the Claims Administrative Support.
Carries out other related tasks and projects as assigned.
What you bring to the role:
- Post-secondary diploma in business or related courses, programs, licenses (insurance related) and/or equivalent work experience.
- 1 to 3 years in a claims environment
- Technical: MS Office
- Excellent analytical skills
- Ability to handle irate people and stressful situations
- Demonstrated ability to adapt and be flexible to changing business needs
- Excellent listening skills
- Troubleshooting methodologies
- Excellent oral and written communication skills
- Demonstrated ability to meet deadlines
- Ability to work both independently and with other team members
- Demonstrated ability to be proactive when dealing with issues and challenges
- Excellent analytical and troubleshooting skills
- Excellent multi-tasking and organizational skills
- CIP designation
- Second language
- Must successfully pass a background check, which may include a criminal, credit, and credential check.