Claims Examiner

Job title: Claims Examiner

Company: Alberta Motor Association

Job description: Are you passionate about helping others? Do you like doing something different every day? Then you’re just the person we’re looking for! This role supports and mentors Claims Adjusters on complex claims while identifying trends to ensure compliance. You’ll be an expert in the technical aspects of the claim process.WHAT MOVES YOU

• Not only are you an ace problem solver, you’re pretty good at thinking fast on your feet.
• Prioritizing, planning and organizing comes as naturally to you as breathing.
• You’re a born organizer who’s a stickler for details, able to juggle multiple tasks with ease.
• You have excellent interpersonal skills, talking to others is just a walk in the park.
• You take pride in mentoring others and helping to develop their skills.

WHAT YOU’LL DO

• Report to the Director, Claims.
• Work within significant levels of authority on claim files with technical or financial complexities, analyzing information, and developing and communicating strategies to find the best resolutions.
• Examine files handled by independent Adjusters and provide instruction accordingly.
• Maintain effective communication with and assist claims management, Adjusters, and experts to promote department and individual development.
• Work collaboratively with all claims team members provincially along with all business units within AMA Insurance.
• Support the Director, Claims in maintaining quality service and competitiveness by identifying training, education and development needs of the Adjusters.
• Assist with catastrophe claims when required. This may involve overtime and business travel.
• Participate in short-term special projects (e.g., litigation audit, targeted claim file review) as directed by Director, Claims.
• Identify potential fraud files and involve the Special Investigations Unit as required.
• Perform monthly file reviews/audits as assigned for compliance and proper file handling.
• Support and mentor all Claims Adjusters with the handling of complex claims.
• Communicate regularly and effectively using various methods to meet our insureds’ needs.
• Represent AMA positively and promote TYLF in all business interactions.

WHAT YOU’VE DONE

• You have a high school diploma.
• You have a CIP designation or equivalent.
• Minimum ten year’s experience with property and casualty claims including personal and commercial lines, and catastrophic losses.
• Good working knowledge of other business unit functions including underwriting, accounting, statistical and financial reports and insurance systems technology.
• Technical, product and industry knowledge and skills that are reflective of progression though various claims handling levels.
• Strong negotiating, mediation and judgment skills.
• Ability to make informed, confident and timely decisions.
• Ability to develop and build constructive working relationships both internal and external, despite differing perspectives, through supportive communication and mentoring.
• Technical knowledge of the litigation processes in Alberta and willingness to learn and adapt to new legislation and out-of-province litigation processes as required.
• A proactive and logical approach to resolving claims with open-mindedness to others’ opinions.

WHAT YOU’LL GET

• A competitive salary with customizable benefits and an outstanding Retirement Savings Program.
• Great discounts on AMA services including memberships, insurance, travel and more.
• A work environment that prioritizes learning opportunities and career development, with dedicated learning time.
• Paid vacation and other paid time off including a Volunteer Day and a flexible “Me Day”.
• We’re Albertans protecting Albertans, and by joining our locally-based insurance company, you’ll be helping your neighbours protect what matters most.

–WORK MODEL: Hybrid–We thank all applicants for their interest; however, only those selected for an interview will be contacted.

Expected salary:

Location: Edmonton, AB

Job date: Thu, 23 Jan 2025 06:38:37 GMT

Apply for the job now!