Senior AB Adjuster – Toronto

Senior AB Adjuster

Comma Recruitment are looking for a Senior AB Adjuster with 5+ years adjusting experience including experience settling  complex files.

The Senior Adjuster is responsible for providing efficient and prompt investigation, evaluation, negotiation, and settlement of moderate size and/or moderately complex claims in accordance with corporate guidelines and best practices.

Experience with mediation and arbitration also required.

 

•Investigate, appraise/scope, confirm coverage, negotiate settlement and recovery, and conduct reporting and documentation of claims of large size and/or high complexity in accordance with established guidelines.

•Conduct investigations of claims through contact with insurers, claimants, witnesses, other carriers, physicians, contractors, lawyers, etc.

•Demonstrated ability to work well as a team player or independent contributor; Self-motivated

•Ensure the accurate and efficient payment of claims.

•Adhere to service standards by communicating effectively with all parties involved

•Establish and monitor litigation disposition plans, completed by counsel, to ensure claims file handling strategies are being followed. Direct activities of defence counsel to ensure files are handled within litigation guidelines

•Participate in FSCO mediation and arbitration.

Experience:

•             Post-secondary education and / or equivalent on the job experience.

•             Minimum 5-7 years Accident Benefits Claims adjusting experience.

•             Working knowledge of the company principles and practices related to claims settlement, policy wordings, insurance contracts, fraud investigations, serious losses and coverage questions.

•             Ability to work within and adapt to PC oriented environments, including familiarity with e-mail and Internet skills. Working knowledge of Microsoft Office.

•             Actively pursuing CIP/FCIP designation an asset.

•             Ability to understand and interpret complex insurance contracts and changes in the interpretation as a result of case or statuary law.

•             Ability to demonstrate patience, empathy and understanding in dealings with customers.

•             Able to plan, organize, and manage multiple demands and changing priorities.

•             Strong analytical, problem-solving skills, investigative, and decision-making skills.

•             Demonstrated negotiation skills

Please forward resume to [email protected]